Genesys Convalescent Center-Grand Blanc Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

254190 Issued in MI

Legal business name

GENESYS CONVALESCENT CENTER-GRAND BLANC INC

Practice address

8481 Holly Road
Grand Blanc, MI 48439-1899

Phone

(810) 694-1711

Fax

(810) 694-9717

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert K Stevens

Title

President Administrator

Phone

(810) 694-1711

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922070085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8481 HOLLY ROAD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391899",
            "telephone_number": "810-694-1711",
            "fax_number": "810-694-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8481 HOLLY ROAD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391899",
            "telephone_number": "810-694-1711",
            "fax_number": "810-694-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS CONVALESCENT CENTER-GRAND BLANC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "810-694-1711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "254190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "1009706",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152208",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "09706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Grand Blanc, MI
• Providers in Grand Blanc, 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 Aug 22, 2020; 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.