Healthcare Provider Details

I. General information

NPI: 1053113134
Provider Name (Legal Business Name): ADMIRAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 CHRISTY RD
BATTLE CREEK MI
49015-4130
US

IV. Provider business mailing address

503 COLUMBIA AVE E
BATTLE CREEK MI
49014-5412
US

V. Phone/Fax

Practice location:
  • Phone: 269-300-5799
  • Fax:
Mailing address:
  • Phone: 269-300-5799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: TEZIAH D MANUMBU
Title or Position: ADMINISTRATOR
Credential:
Phone: 269-300-5799