LAKESHORE HEALTHCARE ELMWOOD CAMPUS INC


Address: 1881 E Grand Blvd, Detroit, MI 48211-3041
Phone: 3139221600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Office Location

Street Address 1881 E GRAND BLVD
City DETROIT
State MI
Zip Code 48211-3041

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City DETROIT
Zip Code 48211

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Dataset Information

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.

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