LIVONIA SNF, LLC (NPI# 1235628868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235628868 |
| Entity Type | Organization |
| Organization Name | LIVONIA SNF, LLC |
| Other Organization Name | ILLUMINATE HC LIVONIA |
| Practice Address |
29270 Morlock St Livonia MI 48152 |
| Mailing Address |
620 Davis St Ste 200 Evanston IL 60201-4419 |
| Practice Telephone | 2484760555 |
| Mailing Telephone | 3125901055 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | YAIR ZUCKERMAN (MANAGER) |
| Authorized Official Telephone | 7735174777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Illuminate HC Livonia | Doing Business As Name - Organization |
| SKLD Livonia | Doing Business As Name - Organization |
| Street Address |
29270 MORLOCK ST |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942249818 | Heartland-dorvin of Livonia Mi LLC | Skilled Nursing Facility | 29270 Morlock St, Livonia, MI 48152-2044 | 2006-06-06 |
| 1285105437 | Hali Anne Lightner | Speech-Language Pathologist | 29270 Morlock St, Livonia, MI 48152-2044 | 2018-12-16 |
| 1366912479 | Ajay P Deshmukh | Physical Therapist | 29270 Morlock St, Livonia, MI 48152-2044 | 2018-12-01 |
| 1699245910 | Jillian Hilliard | Occupational Therapist | 29270 Morlock St, Livonia, MI 48152-2044 | 2018-11-29 |
| 1861968778 | Rulevia D Caballero-galia | Physical Therapist | 29270 Morlock St, Livonia, MI 48152-2044 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285721449 | Marian Village Corporation | Skilled Nursing Facility | 36975 5 Mile Rd, Livonia, MI 48154-1871 | 2006-10-09 |
| 1245272897 | Heartland-university of Livonia Mi LLC | Skilled Nursing Facility | 28550 Five Mile Rd, Livonia, MI 48154-3866 | 2006-06-11 |
| 1942249818 | Heartland-dorvin of Livonia Mi LLC | Skilled Nursing Facility | 29270 Morlock St, Livonia, MI 48152-2044 | 2006-06-06 |
| 1316996226 | Woodhaven of Livonia | Skilled Nursing Facility | 29667 Wentworth St, Livonia, MI 48154-6231 | 2006-05-08 |
| 1801854815 | St. Jude Nursing Center, Inc. | Skilled Nursing Facility | 34350 Ann Arbor Trl, Livonia, MI 48150-3606 | 2006-05-02 |
| 1366443228 | Trinity Continuing Care Services | Skilled Nursing Facility | 15475 Middlebelt Rd, Livonia, MI 48154-3805 | 2005-08-02 |
| 1720085053 | Middlebelt Hope Acquistion Company Inc | Skilled Nursing Facility | 14900 Middlebelt Rd, Livonia, MI 48154-4033 | 2005-07-01 |
| 1669477873 | Conesus Lake Nursing Home, LLC | Skilled Nursing Facility | 6131 Big Tree Rd, Livonia, NY 14487-9608 | 2005-06-15 |
| 1811538903 | Livonia Snf Operating, LLC | Skilled Nursing Facility | 34350 Ann Arbor Trl, Livonia, MI 48150-3606 | 2019-10-01 |
| 1811479330 | Fountain Bleu Health and Rehabilitation Center Inc | Skilled Nursing Facility | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2018-08-31 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.