Provider Demographics
NPI:1174672372
Name:CHAPLAINS, INC.
Entity Type:Organization
Organization Name:CHAPLAINS, INC.
Other - Org Name:FOUR CHAPLAINS NURSING CARE CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-534-0150
Mailing Address - Street 1:10503 CITATION DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-6551
Mailing Address - Country:US
Mailing Address - Phone:810-534-0150
Mailing Address - Fax:810-534-0208
Practice Address - Street 1:28349 JOY RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-5524
Practice Address - Country:US
Practice Address - Phone:734-261-9500
Practice Address - Fax:734-261-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI824410314000000X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI09696OtherBCBSM
MI0H21884OtherBCBS DME P&O
MI3021597Medicaid
MI0H21884OtherBCBS DME P&O
MI3021597Medicaid