LAKESHORE HEALTHCARE ELMWOOD CAMPUS INC (NPI# 1285076273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285076273 |
Entity Type | Organization |
Organization Name | LAKESHORE HEALTHCARE ELMWOOD CAMPUS INC |
Practice Address |
1881 E Grand Blvd Detroit MI 48211-3041 |
Practice Telephone | 3139221600 |
Practice Fax Number | 3139224756 |
Mailing Telephone | 3139221600 |
Mailing Fax Number | 3139224756 |
Enumeration Date | 2013-07-19 |
Last Update Date | 2013-07-19 |
Authorized Official Name | DEEPAK BHALLA (V P OPERATIONS) |
Authorized Official Telephone | 3134833905 |
Authorized Official Credential | PMP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Street Address |
1881 E GRAND BLVD |
City | DETROIT |
State | MI |
Zip Code | 48211-3041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225115637 | Elmwood Geriatric Village, Inc | Skilled Nursing Facility | 1881 E Grand Blvd, Detroit, MI 48211-3041 | 2006-11-01 |
1629676085 | Mission Point of Elmwood LLC | Skilled Nursing Facility | 1881 E Grand Blvd, Detroit, MI 48211-3041 | 2020-10-16 |
1265961585 | The Bay At Elmwood Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 1881 E Grand Blvd, Detroit, MI 48211-3041 | 2017-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528572930 | Tabatha Green | Licensed Practical Nurse | 1221 East Brand Blvd, Detroit, MI 48211 | 2017-11-21 |
1760714406 | Nathan Terey | Counselor | 5470 Chene Ave, Detroit, MI 48211 | 2010-02-05 |
1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
1497872352 | Une Sur Une Resource Services LLC | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-03-24 |
1558524884 | Rebecca Woloszyn | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-07-07 |
1902064405 | Venessa Jean Parks | Counselor | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-05-30 |
1972790459 | Nelda Kay Lejeune | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-09-28 |
1760718605 | Teena Marie Sawicki | Social Worker | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2009-10-28 |
1659672699 | Margaret Elizabeth Hudson-collins | Psychiatry & Neurology | 3501 Hamtramck Dr, Detroit, MI 48211-1400 | 2010-11-08 |
1184932766 | John A. Lyle | Psychologist | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2010-09-17 |
Find all providers in zip 48211 |
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 |
---|---|---|---|---|
1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
1194254342 | The Bay At Woodward Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 9146 Woodward Ave, Detroit, MI 48202-1612 | 2017-06-09 |
1063712586 | Boulevard Manor L.L.C. | Skilled Nursing Facility | 464 E Grand Blvd, Detroit, MI 48207-3637 | 2010-11-01 |
1366529703 | Cranbrook Geriatric Village, Inc | Skilled Nursing Facility | 5000 E 7 Mile Rd, Detroit, MI 48234-2261 | 2006-11-01 |
1225115637 | Elmwood Geriatric Village, Inc | Skilled Nursing Facility | 1881 E Grand Blvd, Detroit, MI 48211-3041 | 2006-11-01 |
1104903590 | Redford Geriatric Village, Inc | Skilled Nursing Facility | 22811 W 7 Mile Rd, Detroit, MI 48219-1739 | 2006-11-01 |
1215026778 | D.w.james Nursing Center Inc | Skilled Nursing Facility | 722 E Grand Blvd, Detroit, MI 48207-2528 | 2006-10-12 |
1811086804 | El-dan Inc D/b/a New Detroit Nursing Center | Skilled Nursing Facility | 716 E. Grand Blvd, Detroit, MI 48207 | 2006-10-11 |
Find all providers in DETROIT |
Please comment or provide details below to improve the information on LAKESHORE HEALTHCARE ELMWOOD CAMPUS INC.
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.