Organization Name: | NORTHCREST OPERATING CO.,INC. |
NPI Number: | 1154754034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON B REESE (PRESIDENT & CHIEF OPERATING OFFICER) |
Mailing Address: | 2650 Ruddiman Dr North Muskegon |
State: | MI US |
Postal Code: | 494453260 |
Phone Number: | 2317442447 |
Fax Number: | 2317442448 |
NPI Enumeration Date: | 08/15/2013 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AH610236856 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |