Healthcare Provider Details

I. General information

NPI: 1053494039
Provider Name (Legal Business Name): UNITED METHODIST RETIREMENT COMMUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W MIDDLE ST
CHELSEA MI
48118-1369
US

IV. Provider business mailing address

805 W MIDDLE ST
CHELSEA MI
48118-1369
US

V. Phone/Fax

Practice location:
  • Phone: 734-433-1000
  • Fax: 734-475-8321
Mailing address:
  • Phone: 734-433-1000
  • Fax: 734-475-8321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number834160
License Number StateMI

VIII. Authorized Official

Name: MR. JOHN JOSEPH THORHAUER
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 734-433-1000