Active NPI
Sanborn Gratiot Memorial Home
- Respite Care
- Port Huron, MI
National Provider Identifier
1962839860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- SANBORN GRATIOT MEMORIAL HOME
- Practice address
- 2732 Cherry St
Port Huron, MI 48060-2916 - Phone
- (810) 985-5631
- Fax
- (810) 985-5658
- NPI assigned
- Oct 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Swantek
- Title
- Executive Director
- Phone
- (810) 388-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 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 Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Port Huron, MI
- NPI 1790952232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381276800000",
"number": "1962839860",
"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": "810-985-5658"
},
{
"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": "810-985-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANBORN GRATIOT MEMORIAL HOME",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-09",
"last_updated": "2013-10-09",
"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"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"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 Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.