LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER (NPI# 1295767333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295767333 |
| Entity Type | Organization |
| Organization Name | LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER |
| Practice Address |
6418 Deans Hill Rd Berrien Center MI 49102-9750 |
| Mailing Address |
Po Box 800 Saint Joseph MI 49085-0800 |
| Practice Telephone | 2694733003 |
| Practice Fax Number | 2694733010 |
| Mailing Telephone | 2694282574 |
| Mailing Fax Number | 2694280490 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MR. TIM CALHOUN (CFO/VP OF FINANCE) |
| Authorized Official Telephone | 2699838398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 110080 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 00323 | 01 | |
| MI | 4172264 | 05 | |
| MI | 4172246 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651760 | Lakeland Specialty Hospital At Berrien Center | Skilled Nursing Facility | 6418 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2006-07-17 |
| Street Address |
6418 DEANS HILL RD |
| City | BERRIEN CENTER |
| State | MI |
| Zip Code | 49102-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105549 | Lakeland Specialty Hospital | Skilled Nursing Facility | 6418 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2005-09-21 |
| 1477185775 | Sarah Marie Hayslip | Peer Specialist | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2020-02-05 |
| 1841771946 | Ryan Allen Lutin | Peer Specialist | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2018-08-27 |
| 1497262752 | James Allen Panozzo | Counselor | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2018-01-08 |
| 1770094583 | Brandy Renee Rehmel | Social Worker | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2017-10-19 |
| 1386185155 | Maria Gamez | Counselor | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2017-03-14 |
| 1467907477 | Amber Lynn Olando | Peer Specialist | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2016-08-19 |
| 1467804104 | Michelle Johnson-mastin | Counselor | 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 | 2016-07-06 |
| 1821461161 | Marilynn Moltane | Counselor | 6418 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2015-11-09 |
| 1639540289 | Kimberly Anne Defields Bay | Social Worker | 6418 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2015-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396273439 | Laura Steinke | Peer Specialist | 6418 Deans Hill Rd Ste 1, Berrien Center, MI 49102-8714 | 2017-06-02 |
| 1629637269 | Julie Ann Back | Peer Specialist | 6418 Deans Hill Rd Ste 1, Berrien Center, MI 49102-8714 | 2019-06-07 |
| 1205140696 | Merene Mathew | Pediatrics | 6416 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2010-07-28 |
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
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|---|---|---|---|---|
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| 1508027624 | Vibra of Southeastern Michigan LLC | Long Term Care Hospital | 26400 West Outer Dr, Lincoln Park, MI 48146-2088 | 2008-06-20 |
| 1962512863 | Mclaren Bay Special Care | Long Term Care Hospital | 3250 E Midland Rd Ste 1, Bay City, MI 48706-2835 | 2006-08-30 |
| 1801872379 | Scci Hospitals of America Inc. | Long Term Care Hospital | 4777 East Outer Drive, Detroit, MI 48234-3241 | 2005-12-16 |
| 1245230671 | Great Lakes Specialty Hosptial - Hackley LLC | Long Term Care Hospital | 1700 Clinton St, 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502 | 2005-07-28 |
| 1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
| 1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
| 1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
| 1225034895 | Select Specialty Hospital - Battle Creek Inc | Long Term Care Hospital | 300 North Ave, Fl 6, Battle Creek, MI 49017-3307 | 2005-06-28 |
| 1427564855 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 | 2017-12-21 |
| Find all providers with the same taxonomy | ||||
| City | BERRIEN CENTER |
| Zip Code | 49102 |
Please comment or provide details below to improve the information on LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.