Beach Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

584010 Issued in MI

Legal business name

BEACH NURSING HOME INC.

Practice address

1215 N Telegraph Rd
Monroe, MI 48162-3368

Phone

(734) 242-4848

Fax

(734) 242-2007

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Donna Jo Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other names 1

• Tendercare of Monroe Doing business as

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1548205255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623368",
            "telephone_number": "734-242-4848",
            "fax_number": "734-242-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "584010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare of Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoha Batool
• Angelina Bausman
• Ruth E Bazick, RN
• Zachary Bazner
• Salah Samir Bazzi, MD
• Mark Alan Beattie, DDS
• Wendy Sally Beckerleg, M.A.,CCC-SLP
• Debra Lynn Beckman, LMSW
• Casey Beinlich, D.C.
• Kaleb Bekele

• Skilled Nursing Facility in Monroe, MI
• Providers in Monroe, 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 Apr 10, 2008; 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.