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FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC NPI 1073761391


NPI Information

NPI: 1073761391
Provider Name: FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC

Doing Business As: FOSTRIAN COURT ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2223017

Address:
640 SUNNYSIDE DR
FLUSHING, MI
ZIP 48433
Phone: (810) 487-0045
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FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC is an assisted living facility in Flushing, MI. The provider is 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. FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC NPI is 1073761391. The provider is registered as an organization entity type.
The provider Is Doing Business As Fostrian Court Assisted Living.

The provider's business location address is:

640 SUNNYSIDE DR
FLUSHING, MI
ZIP 48433-884
Phone: (810) 487-0045
Fax: (810) 487-0257

The provider's authorized official is Barry A Lazarus .
The authorized official title is Vice President-reimbursement and has the following contact phone number (419) 252-5541.

The CLIA number assigned to this NPI record is 23D2223017 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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