Cedar Knoll Care Center
Organization Active NPI Skilled Nursing Facility · Grass Lake, MI
NPI 1679568455 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1679568455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CEDAR KNOLL CARE CENTER
- Practice address
- 9230 Cedar Knoll Dr
Grass Lake, MI 49240-9633 - Phone
- (517) 522-8471
- Fax
- (517) 522-3066
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John G Hupp
- Title
- Owner
- Phone
- (517) 522-8471
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
9230 Cedar Knoll Dr
Grass Lake, MI 49240-9633
Mailing address
9230 Cedar Knoll Dr
Grass Lake, MI 49240-9633
Phone (517) 522-8471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3365195 | Medicaid | MI |
Other providers in Grass Lake, MI
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- Lauren Elizabeth Blake
- Rebecca L Bowman
- Nancy Ann Brown
- Luciana Castro
- Aaron Cole
- Commet Welcome Pharmacies Inc
- Compassionate Daughters Home Care LLC.
- Katherine A Cox
- Shana Crouch
All providers in Grass Lake, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.