Menominee Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MENOMINEE CARE CENTER, LLC

Practice address

501 2ND St
Menominee, MI 49858-3203

Phone

(906) 863-9941

Fax

(906) 853-9942

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Gregory Hook

Title

Officer

Phone

(201) 953-0546

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atrium Post Acute Care of Menominee Doing business as

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1477083442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703704",
            "telephone_number": "201-953-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 2ND ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583203",
            "telephone_number": "906-863-9941",
            "fax_number": "906-853-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOMINEE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "HOOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "201-953-0546"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616773",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Post Acute Care of Menominee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Post Acute Care of Menominee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Maman
• Ashley Manninen, RN
• Keith Francis Mattson
• Erin McGhee, RN
• Lynette Ann McMahon, R.N.
• Jordyn Rae Miller, LMSW-CLINICAL
• Mark Daniel Mogensen, RPH
• Chelsea Jean Monfils, BSW
• Jessica Leigh Mosur, LPN
• Kendelle Nelson

• All providers in Menominee, MI
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.