NPIMap

Organization Active NPI

Sanborn Gratiot Memorial Home

  • Assisted Living Facility
  • Port Huron, MI
National Provider Identifier
1790952232
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AH740236889 Issued in MI
Legal business name
SANBORN GRATIOT MEMORIAL HOME
Practice address
2732 Cherry St
Port Huron, MI 48060-2916
Phone
(810) 985-5631
Fax
(810) 985-1560
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Ms. Kathleen Swantek
Title
Executive Director
Phone
(810) 388-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AH740236889 MI Primary

Addresses

Primary practice location

2732 Cherry St
Port Huron, MI 48060-2916

Mailing address

2732 Cherry St
Port Huron, MI 48060-2916
Phone (810) 985-5631

National Provider Directory

National Provider Directory
Tax ID family
Sanborn Gratiot Memorial Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1790952232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 CHERRY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602916",
            "telephone_number": "810-985-5631",
            "fax_number": "810-985-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 CHERRY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602916",
            "telephone_number": "810-985-5631",
            "fax_number": "810-985-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANBORN GRATIOT MEMORIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SWANTEK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-388-1200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH740236889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.