Provider Demographics
NPI:1497207427
Name:MISSION POINT HEALTHCARE HOLDINGS, LLC
Entity Type:Organization
Organization Name:MISSION POINT HEALTHCARE HOLDINGS, LLC
Other - Org Name:MISSION POINT NURSING AND REHABILITATION CENTER OF HOLLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HARI
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALI
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:248-577-2632
Mailing Address - Street 1:721 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2867
Mailing Address - Country:US
Mailing Address - Phone:248-577-2632
Mailing Address - Fax:
Practice Address - Street 1:313 SHERWOOD ST
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-1232
Practice Address - Country:US
Practice Address - Phone:248-577-2632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility