OrganizationActive
Charlevoix Nursing Home Corporation
NPI 1508962069 · Nursing Facility/Intermediate Care Facility · Charlevoix, MI
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
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
14676 W Upright St
Charlevoix, MI 49720-1201
Phone: (231) 547-1005
Street-level locationGet directions
Mailing address
14676 W Upright St
Charlevoix, MI 49720-1201
Other names (DBA / former)
- Doing business as
- Boulder Park Terrace
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 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.