NPIMap

Organization Active NPI

Eaton County Health and Rehabilitation Services

  • Rehabilitation Clinic/Center
  • Charlotte, MI
National Provider Identifier
1497183891
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EATON COUNTY HEALTH AND REHABILITATION SERVICES
Practice address
530 Beech St
Charlotte, MI 48813-1016
Phone
(517) 543-2940
Fax
(517) 541-0670
NPI assigned
Oct 22, 2013
Organization subpart
Yes
Parent organization
EATON COUNTY HEALTH AND REHABILITATION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Martha Richard
Title
Administrator
Phone
(517) 543-2940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

530 Beech St
Charlotte, MI 48813-1016

Mailing address

530 Beech St
Charlotte, MI 48813-1016
Phone (517) 543-2940

Other identifiers 1

IdentifierTypeStateIssuer
1278782MedicaidMI

Other names 1

  • Wellness 101 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 236880

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WELLNESS 101
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 17, 2016
Last certification
May 17, 2016
Ownership / control type
Local Government
Facility address
530 W Beech
Charlotte, MI 48813

National Provider Directory

National Provider Directory
Part of
Eaton County Health and Rehabilitation Services

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1497183891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BEECH ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131016",
            "telephone_number": "517-543-2940",
            "fax_number": "517-541-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BEECH ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131016",
            "telephone_number": "517-543-2940",
            "fax_number": "517-541-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON COUNTY HEALTH AND REHABILITATION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EATON COUNTY HEALTH AND REHABILITATION SERVICES",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-543-2940"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1278782",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness 101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.