# CONVALCARE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Stockbridge Country Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043216518
- **Authorized official:** MR. PAUL E HIMELHOCH L.N.H. (ADMINISTRATOR)
- **Authorized official phone:** (517) 851-7700

## Contact information

- **Practice address:** 406 W MAIN ST, STOCKBRIDGE, MI 49285-9719
- **Practice address phone:** (517) 851-7700
- **Practice address fax:** (517) 851-8862
- **Mailing address:** 406 W MAIN ST, STOCKBRIDGE, MI 49285-9719
- **Mailing address phone:** (517) 851-7700
- **Mailing address fax:** (517) 851-8862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 334070 | MI | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4579230 | — | MI |