NPIMap

Organization Active NPI

11941 Belsay Road Operating Company

  • Skilled Nursing Facility
  • Grand Blanc, MI
National Provider Identifier
1447362595
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
11941 BELSAY ROAD OPERATING COMPANY
Doing business as
Grand Blanc Health Care Center
Practice address
11941 Belsay Rd
Grand Blanc, MI 48439-1702
Phone
(810) 694-1970
Fax
(810) 694-4081
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin P Breslin
Title
Executive Vice President - Cfo
Phone
(201) 242-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11941 Belsay Rd
Grand Blanc, MI 48439-1702

Mailing address

11941 Belsay Rd
Grand Blanc, MI 48439-1702
Phone (810) 694-1970

Other identifiers 1

IdentifierTypeStateIssuer
4958799MedicaidMI

Other names 1

  • Grand Blanc Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
11941 Belsay Road Operating Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1447362595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 BELSAY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391702",
            "telephone_number": "810-694-1970",
            "fax_number": "810-694-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 BELSAY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391702",
            "telephone_number": "810-694-1970",
            "fax_number": "810-694-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11941 BELSAY ROAD OPERATING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT - CFO",
        "authorized_official_telephone_number": "201-242-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4958799",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Blanc Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.