Orchard Grove Nursing & Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

L2523908 Issued in MI

Legal business name

ORCHARD GROVE NURSING & REHAB CENTER LLC

Practice address

1385 E Empire Ave
Benton Harbor, MI 49022-2037

Phone

(269) 925-0033

Fax

(269) 925-2019

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Moshe David Aryeh

Title

Manager

Phone

(773) 793-0167

Specialties & licenses 1

Addresses

Other names 1

• Harbor Lights Care Center Doing business as

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1962837542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7383 N LINCOLN AVE",
            "address_2": "SUITE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121734",
            "telephone_number": "847-440-2233",
            "fax_number": "847-430-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E EMPIRE AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222037",
            "telephone_number": "269-925-0033",
            "fax_number": "269-925-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD GROVE NURSING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ARYEH",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-793-0167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "L2523908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Lights Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melva Olsen
• Folasade Olaide Olurankinse
• Doris Omari, LISW
• Kevin Oosterhouse
• Orchard Grove Heathcare Center
• Kenneth Joseph Orlich
• Orthopedic and Sports Physical Therapy Center, Inc
• Cheryl Osby
• Cielo Sky Overton
• Roberto Overton, LPC

• Skilled Nursing Facility in Benton Harbor, MI
• Providers in Benton Harbor, 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 Jun 22, 2015; 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.