11941 Belsay Road Operating Company, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4962065 Issued in MI

Legal business name

11941 BELSAY ROAD OPERATING COMPANY, LLC

Practice address

11941 Belsay Rd
Grand Blanc, MI 48439-1702

Phone

(810) 694-1970

Fax

(810) 694-4081

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin P Breslin

Title

Evp

Phone

(201) 242-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Blanc Rehabilitation and Nursing Center Doing business as

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1720278997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 BELSAY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391702",
            "telephone_number": "810-694-1970",
            "fax_number": "810-694-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 BELSAY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391702",
            "telephone_number": "810-694-1970",
            "fax_number": "810-694-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11941 BELSAY ROAD OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "201-242-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4962065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4962065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Blanc Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 11941 Belsay Road Operating Company
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• A to Z DME LLC
• Rebecca Lynn Aaron, NP
• Elise Abbgy

• Durable Medical Equipment & Medical Supplies in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.