Allegan Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

034040 Issued in MI

Legal business name

ALLEGAN NURSING HOME, LLC

Doing business as

Metron of Allegan

Practice address

1200 Ely St
Allegan, MI 49010-9368

Phone

(269) 673-5494

Fax

(269) 673-2781

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

J. Lindsey Dood

Title

Executive Vice President and Cfo

Phone

(616) 957-3957

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metron of Allegan Doing business as

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1649296260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ORCHARD VISTA DR SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467069",
            "telephone_number": "616-957-3957",
            "fax_number": "616-957-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ELY ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109368",
            "telephone_number": "269-673-5494",
            "fax_number": "269-673-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGAN NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "DOOD",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "616-957-3957"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "034040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831215",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metron of Allegan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Allegan, MI
• Providers in Allegan, 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 Nov 24, 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.