Hyland Convalescent Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

22-404 Issued in MI

Legal business name

HYLAND CONVALESCENT HOME

Practice address

601 E G St
Iron Mountain, MI 49801-4061

Phone

(906) 774-9333

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Christine L Redding

Title

Administrator

Phone

(906) 774-9333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467511907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E G ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014061",
            "telephone_number": "906-774-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E G ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014061",
            "telephone_number": "906-774-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLAND CONVALESCENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-774-9333"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "22-404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Hunt, MD
• Lucas Hurzeler
• Beverly Crandell Hutchinson, APRN, BC
• Jeffrey Richard Hutchinson, AUD
• Jennifer Marie Hwang, D.O.
• Hypnotic Solutions LLC
• Indigo Hospital Medicine - Iron Mountain PLC
• Integrated First Response-Great Lakes
• Integrity Care EMS
• Intimate Illusions

• Nursing Facility/Intermediate Care Facility in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Nursing Facility/Intermediate Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.