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Atrium Countryside Llc
Skilled Nursing Facility in South Haven, Michigan
NPI 1497753834

Atrium Countryside Llc is a Skilled Nursing Facility based in Norton Shores, MI. Atrium Countryside Llc practices in South Haven, MI. The NPI Number for Atrium Countryside Llc is 1497753834 and holds a License No. AH800236748 (Michigan).

The current practice location address for Atrium Countryside Llc is 120 Baseline Rd, South Haven, MI and can be reached out via phone at 269-637-8411 and via fax at 269-637-8460.

Location: 120 Baseline Rd, South Haven, MI, 49441-5574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497753834
Provider Name
Atrium Countryside Llc
Credential
Provider Entity Type
Organization
Address
120 Baseline Rd, South Haven, MI, 49441-5574
Phone Number
269-637-8411
Fax Number
269-637-8460
Provider Enumeration Date
07/11/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S 9517 01 MI BCBS PROVIDER CODE
60 4191457 05 MI
institution
Provider Business Practice Location Address Details
Address
120 Baseline Rd
City
South Haven
State
Michigan
Zip
49090-1037
Phone Number
269-637-8411
Fax Number
269-637-8460
person
Provider Business Mailing Address Details
Address
120 Baseline Rd
City
South Haven
State
Michigan
Zip
49090-1037
Phone Number
269-637-8411
Fax Number
269-637-8460
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
80-4050 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
AH800236748 (Michigan)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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