Charlevoix Nursing Home Corporation
NPI 1508962069 · Nursing Facility/Intermediate Care Facility · Charlevoix, MI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charlevoix Nursing Home Corporation is a Nursing Facility/Intermediate Care Facility organization in Charlevoix, MI (NPI 1508962069).
Provider details
- NPI number
- 1508962069
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Bellamy, Cfo(231) 487-4094
- License
- 235526 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boulder Park Terrace
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2017-08-28
Frequently asked questions
- What is Charlevoix Nursing Home Corporation's NPI number?
- Charlevoix Nursing Home Corporation's National Provider Identifier (NPI) is 1508962069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charlevoix Nursing Home Corporation?
- Charlevoix Nursing Home Corporation is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Charlevoix Nursing Home Corporation located?
- Charlevoix Nursing Home Corporation's practice location on file with NPPES is 14676 W Upright St, Charlevoix, MI 49720-1201.
- What is Charlevoix Nursing Home Corporation's phone number?
- The practice phone number listed in the NPPES registry for Charlevoix Nursing Home Corporation is (231) 547-1005.
- Does Charlevoix Nursing Home Corporation accept Medicare?
- Charlevoix Nursing Home Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Charlevoix Nursing Home Corporation?
- The authorized official listed on Charlevoix Nursing Home Corporation's NPPES record is David Bellamy, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charlevoix Nursing Home Corporation's NPI active?
- Yes — Charlevoix Nursing Home Corporation's NPI (1508962069) is active in the NPPES registry as of the last update on 2017-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.