Healthcare Provider Details

I. General information

NPI: 1568394211
Provider Name (Legal Business Name): CHELSEA ROSE SACK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 S LINCOLN AVE
LAKEVIEW MI
48850-9190
US

IV. Provider business mailing address

531 S LINCOLN AVE
LAKEVIEW MI
48850-9190
US

V. Phone/Fax

Practice location:
  • Phone: 616-920-2050
  • Fax:
Mailing address:
  • Phone: 616-920-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberAF590402055
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: