Edison Assisted Living Center

LBN: Christian Rest Home Association
Edison Assisted Living Center is an health care organization with primary practice located at 1010 Edison Ave Nw , Grand Rapids MI 49504-3918. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Christian Rest Home Association can be contacted via phone (616) 453-0581, or through Horjus, James via phone (616) 453-0581.

Contact Information

Primary practice address
1010 Edison Ave Nw Grand Rapids MI 49504-3918
Phone: (616) 453-0581
Fax: (616) 791-0910
Website:
Map and Directions
Authorized official contact:
Name: Horjus, James
Phone: (616) 453-0581

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AH410236778 Michigan

Profile Details

NPI number 1720350341
LBN Legal business name Christian Rest Home Association
DBA Doing business as Edison Assisted Living Center
Authorized official Horjus, James
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 27th, 2012
Last updated Jan 27th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720350341 NPPES
Michigan Other AH410236778 MICHIGAN DEPARTMENT OF HUMAN SERVICES

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