Organization
SPECTRUM HEALTH CONTINUING CARE
Active
Parent organization
SPECTRUM HEALTH CONTINUING CARE
Other names
Spectrum Health Rehab & Nursing Center-Kalamazoo, Corewell Health Rehabilitation & Nursing Center - Kentridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH CONTINUING CARE
Authorized official
MR. MATTHEW E COX (CFO)
(616) 391-1663
Entity
Organization
Contact information
Practice address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 455-7300
(616) 455-7154
Mailing address
750 FULLER AVE NE, MC 160, GRAND RAPIDS, MI 49503-1918
(616) 643-9083
(616) 643-9060
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
414090
MI
314000000X
Skilled Nursing Facility
Primary
414090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09613
BCBS
MI
05
—
602154472
—
MI
Enumeration date
12/05/2005
Last updated
10/03/2023
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