Provider Demographics
NPI:1417203530
Name:BURCHAM HILLS LLC
Entity Type:Organization
Organization Name:BURCHAM HILLS LLC
Other - Org Name:BURCHAM HILLS WELLNESS AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-575-8224
Mailing Address - Street 1:2700 BURCHAM DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-3899
Mailing Address - Country:US
Mailing Address - Phone:517-827-0368
Mailing Address - Fax:517-827-1080
Practice Address - Street 1:2700 BURCHAM DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-3898
Practice Address - Country:US
Practice Address - Phone:517-351-8377
Practice Address - Fax:517-827-1080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BURCHAM HILLS RETIREMENT CENTER II
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-26
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation