Whitehall of Ann Arbor Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

814060 Issued in MI

Legal business name

WHITEHALL OF ANN ARBOR HEALTHCARE, LLC

Doing business as

Whitehall Healthcare Center of Ann Arbor

Practice address

3370 E Morgan Rd
Ann Arbor, MI 48108-9637

Phone

(734) 971-3230

Fax

(734) 971-5014

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Colette M. Lewis

Title

Manager

Phone

(734) 971-3230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whitehall Healthcare Center of Ann Arbor Doing business as

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1609819531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 E MORGAN RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089637",
            "telephone_number": "734-971-3230",
            "fax_number": "734-971-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 E MORGAN RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089637",
            "telephone_number": "734-971-3230",
            "fax_number": "734-971-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL OF ANN ARBOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-971-3230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "814060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4645694",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehall Healthcare Center of Ann Arbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Gabrielle White, AU.D.
• Tomika Deschondra White
• Whitni Jazmyn White, CNM
• William Jerry White Jr., LMSW
• Yvette White, N.P.
• Keneesha Whitehead, PHD, LPC
• Lisa Whitehead
• Lisa Whitehead, M.D.
• George Carpenter Whiteley IV, LLMSW
• Raymond Joseph Whiteman, MD

• Skilled Nursing Facility in Ann Arbor, MI
• Providers in Ann Arbor, 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 Aug 17, 2015; 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.