Provider Demographics
NPI:1780682096
Name:J & A HEALTH CARE SYSTEMS, INC.
Entity type:Organization
Organization Name:J & A HEALTH CARE SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-588-9928
Mailing Address - Street 1:2532 W CADILLAC DR
Mailing Address - Street 2:PO BOX 579
Mailing Address - City:FARWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48622-9757
Mailing Address - Country:US
Mailing Address - Phone:989-588-9928
Mailing Address - Fax:989-588-3005
Practice Address - Street 1:2532 W CADILLAC DR
Practice Address - Street 2:
Practice Address - City:FARWELL
Practice Address - State:MI
Practice Address - Zip Code:48622-9757
Practice Address - Country:US
Practice Address - Phone:989-588-9928
Practice Address - Fax:989-588-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI184010314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI09579OtherBLUE CROSS BLUE SHIELD
MI3052987Medicaid
MI3052987Medicaid