Michigan Christian Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

414200 Issued in MI

Legal business name

MICHIGAN CHRISTIAN HOME

Practice address

1845 Boston SE
Grand Rapids, MI 49506-4499

Phone

(616) 245-9179

Fax

(616) 245-0572

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey T Huegli

Title

President

Phone

(616) 245-9179

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Beacon Hill At Eastgate Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1508865296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BOSTON SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064499",
            "telephone_number": "616-245-9179",
            "fax_number": "616-608-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BOSTON SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064499",
            "telephone_number": "616-245-9179",
            "fax_number": "616-245-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CHRISTIAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "HUEGLI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-245-9179"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH410236848",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "414200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081349",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Hill At Eastgate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Michels
• Erica A Michiels, MD
• Michigan Behavioral Consultants PC
• Michigan Blood
• Michigan Center for TMJ Sleep Disorders
• Michigan Hand Center, PLC
• Michigan Heart Lung and Vein Surgery
• Michigan Medical Patient Care
• Michigan Medical Patient Care
• Michigan Medical Patient Care

• Skilled Nursing Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.