Kalamazoo Opco II, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KALAMAZOO OPCO II, LLC

Practice address

3625 W Michigan Ave
Kalamazoo, MI 49006-5427

Phone

(269) 375-4550

NPI assigned

Jan 16, 2017

Organization subpart

No

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

Authorized official

Name

Simcha M Mandelbaum

Title

Member

Phone

(847) 344-8712

Specialties & licenses 1

Addresses

Other names 1

• Hallmark Living Kalamazoo Doing business as

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1841736725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065427",
            "telephone_number": "269-375-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO OPCO II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-344-8712"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark Living Kalamazoo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalamazoo Home Care Services, LLC
• Kalamazoo Home Health Care, Inc.
• Kalamazoo Home Health Care, Inc.
• Kalamazoo Long Term Care LLC
• Kalamazoo Mental Wellness LLC
• Kalamazoo Opco, LLC
• Kalamazoo Orthotics & Diabetic Shoes Inc
• Kalamazoo Pediatric Dentistry
• Kalamazoo Podiatry PC
• Kalamazoo Probation Enhancement Program

• Skilled Nursing Facility in Kalamazoo, MI
• Providers in Kalamazoo, 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 Apr 3, 2017; 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.