Provider Demographics
NPI:1700887650
Name:UNITED METHODIST RETIREMENT COMMUNITIES, INC.
Entity type:Organization
Organization Name:UNITED METHODIST RETIREMENT COMMUNITIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:THORHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-433-1000
Mailing Address - Street 1:805 W MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1369
Mailing Address - Country:US
Mailing Address - Phone:734-433-1000
Mailing Address - Fax:734-475-5820
Practice Address - Street 1:805 W MIDDLE ST
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1369
Practice Address - Country:US
Practice Address - Phone:734-433-1000
Practice Address - Fax:734-475-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAH810236762310400000X
MI814010314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2153303Medicaid
MI235021Medicare Oscar/Certification