EVANGELICAL HOMES OF MICHIGAN (NPI# 1639157993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639157993 |
| Entity Type | Organization |
| Organization Name | EVANGELICAL HOMES OF MICHIGAN |
| Other Organization Name | EVANGELICAL HOME - STERLING HEIGHTS |
| Practice Address |
14900 Shoreline Dr Sterling Heights MI 48313-2251 |
| Practice Telephone | 5862474700 |
| Practice Fax Number | 5862471499 |
| Mailing Telephone | 5862474700 |
| Mailing Fax Number | 5862471499 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LAWRENCE G PETROSKEY (CFO) |
| Authorized Official Telephone | 3138363499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 504015 | MI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Evangelical Home - Sterling Heights | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396723508 | Evangelical Homes of Michigan | Skilled Nursing Facility | 440 W Russell St, Saline, MI 48176-1184 | 2006-01-06 |
| 1225523715 | Evangelical Homes of Michigan | Clinic/Center | 400 W Russell St, Saline, MI 48176-1183 | 2018-06-27 |
| Street Address |
14900 SHORELINE DR |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48313-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837623 | Danielle Marie Radjewski | Occupational Therapy Assistant | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2019-02-14 |
| 1396218749 | Alyssa Guyett | Occupational Therapy Assistant | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2019-01-09 |
| 1447731336 | Kimberly Rose Tewell | Occupational Therapy Assistant | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2018-08-28 |
| 1992283345 | Hilary Kostus | Occupational Therapist | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2018-07-29 |
| 1689179699 | Joan Carol Grawburg | Physical Therapist | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2018-03-30 |
| 1992209035 | Myla Angeles | Physical Therapist | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2018-03-22 |
| 1275037988 | Tricia Mackool | Physical Therapist | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2018-03-19 |
| 1801302187 | Shoreline Opco, LLC | Skilled Nursing Facility | 14900 Shoreline Dr, Sterling Heights, MI 48313-2251 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
| 1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
| 1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
| 1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
| 1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
| 1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
| 1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
| 1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
| Find all providers in zip 48313 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1679993489 | Partners In Parenting | Nursing Facility/Intermediate Care Facility | 8235 Freda St, Detroit, MI 48204-3127 | 2014-04-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48313 |
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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.