FRIENDSHIP MANOR NURSING HOME (NPI# 1245211408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245211408 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP MANOR NURSING HOME |
| Practice Address |
3950 Beaubien St Detroit MI 48201-2120 |
| Practice Telephone | 3138337600 |
| Practice Fax Number | 3138330366 |
| Mailing Telephone | 3138337600 |
| Mailing Fax Number | 3138330366 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANET S EDWARDS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3138337600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 83-4370 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656615 | Friendship Manor Nursing Home | Skilled Nursing Facility | 3950 Beaubien St, Detroit, MI 48201-2120 | 2005-08-16 |
| Street Address |
3950 BEAUBIEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656615 | Friendship Manor Nursing Home | Skilled Nursing Facility | 3950 Beaubien St, Detroit, MI 48201-2120 | 2005-08-16 |
| 1316573603 | Shivani Sanjay Rami | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2166 | 2020-03-18 |
| 1578056610 | Jessica Mcelfresh | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-06-13 |
| 1326530767 | Lauren Jeffery | Occupational Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-06-01 |
| 1225520984 | India Rahel Stanford | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-05-30 |
| 1790276590 | Allison Lewsley | Occupational Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-05-29 |
| 1104317932 | Margaret A Johnson | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-05-29 |
| 1508357302 | Laura Kay Klein | Occupational Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-05-29 |
| 1619468410 | Melissa Ann Hambright | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-05-29 |
| 1033600853 | Donna Dotson | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679993489 | Partners In Parenting | Nursing Facility/Intermediate Care Facility | 8235 Freda St, Detroit, MI 48204-3127 | 2014-04-18 |
| 1679704886 | Eminence Home Health | Nursing Facility/Intermediate Care Facility | 20061 Bentler St, Detroit, MI 48219-1325 | 2009-08-05 |
| 1568429835 | Law-den Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 1640 Webb St, Detroit, MI 48206-1350 | 2006-04-28 |
| 1184602088 | East Grand Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 130 E Grand Blvd, Detroit, MI 48207-3799 | 2006-01-03 |
| 1780802116 | Neightborhood Service Organization | Nursing Facility/Intermediate Care Facility | 220 Bagley St, Detroit, MI 48226-1400 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669906475 | Arinas Senior Care LLC | Nursing Facility/Intermediate Care Facility | 6861 N Clunbury Rd, West Bloomfield, MI 48322-4316 | 2017-04-18 |
| 1063963304 | Susan Traut | Nursing Facility/Intermediate Care Facility | 1 Dunlap Cir, Oxford, MI 48371-5206 | 2016-10-21 |
| 1700258225 | Danielle Shilling | Nursing Facility/Intermediate Care Facility | 1011 E Central Rd, Quincy, MI 49082-9725 | 2015-10-23 |
| 1952798076 | Rehabilitation Masters PC | Nursing Facility/Intermediate Care Facility | 20331 Mauer St, Saint Clair Shores, MI 48080-1773 | 2015-04-16 |
| 1588055701 | Nextstep Billing and Payroll | Nursing Facility/Intermediate Care Facility | 3201 University Dr, Suite 250, Auburn Hills, MI 48326-2394 | 2015-02-10 |
| 1528491438 | Altum Care Homes | Nursing Facility/Intermediate Care Facility | 23408 Plum Hollow St, Southfield, MI 48033-3275 | 2013-08-14 |
| 1801233465 | Wellness Group Home Care LLC | Nursing Facility/Intermediate Care Facility | 26300 Ford Rd Ste 421, Dearborn Heights, MI 48127-2854 | 2013-05-22 |
| 1548537103 | Rest Haven Homes Inc | Nursing Facility/Intermediate Care Facility | 1424 Union Ave Ne, Grand Rapids, MI 49505-5197 | 2011-11-28 |
| 1649568726 | Aa Home Health Care, LLC | Nursing Facility/Intermediate Care Facility | 55 N Pond Dr Ste 1, Walled Lake, MI 48390-3080 | 2011-07-11 |
| 1518272970 | Michigan Visiting Care | Nursing Facility/Intermediate Care Facility | 90 Highland Dr, Jackson, MI 49201-9163 | 2010-08-10 |
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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.