Provider Demographics
NPI:1790717536
Name:TRILOGY HEALTHCARE OF BATTLE CREEK LLC
Entity Type:Organization
Organization Name:TRILOGY HEALTHCARE OF BATTLE CREEK LLC
Other - Org Name:THE OAKS AT NORTHPOINTE WOODS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:P
Authorized Official - Last Name:PLEVYAK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:502-213-1710
Mailing Address - Street 1:706 NORTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3251
Mailing Address - Country:US
Mailing Address - Phone:269-964-4655
Mailing Address - Fax:269-964-4640
Practice Address - Street 1:706 NORTH AVENUE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3251
Practice Address - Country:US
Practice Address - Phone:269-964-4655
Practice Address - Fax:269-964-4640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRILOGY HEALTH SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-06
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI60-4955848Medicaid
MI235451Medicare Oscar/Certification