SENIOR COMMUNITY NURSING CENTER (NPI# 1275748022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275748022 |
| Entity Type | Organization |
| Organization Name | SENIOR COMMUNITY NURSING CENTER |
| Practice Address |
18300 E Warren Ave Detroit MI 48224-1343 |
| Practice Telephone | 3133438000 |
| Practice Fax Number | 3133438959 |
| Mailing Telephone | 3133438000 |
| Mailing Fax Number | 3133438959 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JULIE KASLLY (ADMINISTRATOR) |
| Authorized Official Telephone | 3133438000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| Street Address |
18300 E WARREN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48224-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851691844 | Ccla 9 LLC | Skilled Nursing Facility | 18300 E Warren Ave, Detroit, MI 48224-1343 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184953903 | First American Medical Supply Company Inc. | Durable Medical Equipment & Medical Supplies | 4824 Burns St, Detroit, MI 48214-1277 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871865824 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 4120 Stadium Dr, Kalamazoo, MI 49008-1426 | 2012-02-07 |
| 1528362076 | Homescripts.com, LLC | Durable Medical Equipment & Medical Supplies | 500 Kirts Blvd., Suite 300, Troy, MI 48084-4135 | 2010-12-27 |
| 1427387042 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 1015 Charlevoix Drive, Suite 1, Grand Ledge, MI 48837-2296 | 2009-12-10 |
| 1881825073 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 2540 28th St Sw, Wyoming, MI 49519-2106 | 2009-08-05 |
| 1477705184 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 3940 E. Washington Rd., Saginaw, MI 48601 | 2008-10-14 |
| 1942326848 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 922 S Mission St, Mt Pleasant, MI 48858-3548 | 2007-03-22 |
| 1891811782 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 1022 Michigan Ave, Alma, MI 48801-1330 | 2007-03-22 |
| 1689737066 | Kabafusion Mi, LLC | Durable Medical Equipment & Medical Supplies | 3631 44th St Se, Ste. C, Kentwood, MI 49512-3971 | 2006-12-18 |
| 1033295381 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 2895 S Isabella Rd, Mt Pleasant, MI 48858-2068 | 2006-10-30 |
| 1639255052 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 831 S Washington, Holland, MI 49423-7134 | 2006-10-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SENIOR COMMUNITY NURSING CENTER.
| 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.