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Ccg Lakeshore Inc
Skilled Nursing Facility in Grand Haven, Michigan
NPI 1538167630

Ccg Lakeshore Inc is a Skilled Nursing Facility based in Norton Shores, MI. Ccg Lakeshore Inc practices in Grand Haven, MI. The NPI Number for Ccg Lakeshore Inc is 1538167630 and holds a License No. 70-4090 (Michigan).

The current practice location address for Ccg Lakeshore Inc is 415 Friant St, Grand Haven, MI and can be reached out via phone at 616-842-4120 and via fax at 616-842-8742.

Location: 415 Friant St, Grand Haven, MI, 49441-5574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538167630
Provider Name
Ccg Lakeshore Inc
Credential
Provider Entity Type
Organization
Address
415 Friant St, Grand Haven, MI, 49441-5574
Phone Number
616-842-4120
Fax Number
616-842-8742
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09621 01 MI BCBS PROVIDER CODE
60 2154623 05 MI
institution
Provider Business Practice Location Address Details
Address
415 Friant St
City
Grand Haven
State
Michigan
Zip
49417-2311
Phone Number
616-842-4120
Fax Number
616-842-8742
person
Provider Business Mailing Address Details
Address
415 Friant St
City
Grand Haven
State
Michigan
Zip
49417-2311
Phone Number
616-842-4120
Fax Number
616-842-8742
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
70-4090 (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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