Healthcare Provider Details
I. General information
NPI: 1003513177
Provider Name (Legal Business Name): HAMPTON OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2023
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 MULHOLLAND ST
BAY CITY MI
48708-4209
US
IV. Provider business mailing address
800 MULHOLLAND ST
BAY CITY MI
48708-4209
US
V. Phone/Fax
- Phone: 989-895-8539
- Fax:
- Phone: 989-895-8539
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ELI
RUBINFELD
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 732-719-4295