New Light Nursing Home, Inc.

LBN: New Light Baptist Church Nursing Home, Inc.
New Light Nursing Home, Inc. is an health care organization with primary practice located at 9500 Grand River Ave , Detroit MI 48204-2132. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. New Light Baptist Church Nursing Home, Inc. can be contacted via phone (313) 491-7920, or through Talley, George B. via phone (313) 491-7920.

Contact Information

Primary practice address
9500 Grand River Ave Detroit MI 48204-2132
Phone: (313) 491-7920
Fax: (313) 491-0510
Website:
Map and Directions
Authorized official contact:
Name: Talley, George B.
Phone: (313) 491-7920

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2152057 Michigan

Profile Details

NPI number 1720071707
LBN Legal business name New Light Baptist Church Nursing Home, Inc.
DBA Doing business as New Light Nursing Home, Inc.
Authorized official Talley, George B.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1720071707 NPPES
Michigan MEDICAID 2152057

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