GREEN LAKE OPCO, LLC (NPI# 1881074961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881074961 |
Entity Type | Organization |
Organization Name | GREEN LAKE OPCO, LLC |
Other Organization Name | THE VILLA AT GREEN LAKE ESTATES |
Practice Address |
6470 Alden Dr West Bloomfield MI 48324-2006 |
Mailing Address |
3755 Chase Ave Skokie IL 60076-4008 |
Practice Telephone | 2483634121 |
Mailing Telephone | 8474402660 |
Enumeration Date | 2015-06-04 |
Last Update Date | 2016-03-07 |
Authorized Official Name | BEN ISREAL (CEO) |
Authorized Official Telephone | 8474402660 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1881074961 | 05 |
Other Name | Type Code |
---|---|
The Villa at Green Lake Estates | Doing Business As Name - Organization |
Street Address |
6470 ALDEN DR |
City | WEST BLOOMFIELD |
State | MI |
Zip Code | 48324-2006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144721861 | Virginia Pepito Benedict | Physical Therapist | 6470 Alden Dr, West Bloomfield, MI 48324-2006 | 2018-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
1629072038 | Alfonso Acosta | Family Medicine | 7173 Ilanaway Dr, West Bloomfield, MI 48324 | 2005-06-13 |
1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
Find all providers in zip 48324 |
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 |
---|---|---|---|---|
1407102049 | Notting Hill of West Bloomfield, LLC | Skilled Nursing Facility | 6535 Drake Rd, West Bloomfield, MI 48322-3147 | 2012-08-01 |
1285676981 | Heartland of West Bloomfield Mi LLC | Skilled Nursing Facility | 6950 Farmington Rd, West Bloomfield, MI 48322-3220 | 2006-06-10 |
1851330732 | Health Care and Retirement Corporation of America LLC | Skilled Nursing Facility | 6800 W Maple Rd, West Bloomfield, MI 48322-2792 | 2006-06-06 |
1699772087 | Bloomfield Orchard Acquisition Company, Inc | Skilled Nursing Facility | 7277 Richardson Rd, West Bloomfield, MI 48323-1266 | 2005-06-30 |
1073518171 | West Bloomfield Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 6445 W Maple Rd, West Bloomfield, MI 48322-2047 | 2005-06-15 |
1255820890 | West Bloomfield Snf, LLC | Skilled Nursing Facility | 6950 Farmington Rd, West Bloomfield, MI 48322-3220 | 2018-05-09 |
1669808622 | Maple-drake Real Estate, LLC | Skilled Nursing Facility | 6535 Drake Rd, West Bloomfield, MI 48322-3147 | 2013-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
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 |
1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
Find all providers with the same taxonomy |
City | WEST BLOOMFIELD |
Zip Code | 48324 |
Please comment or provide details below to improve the information on GREEN LAKE OPCO, LLC.
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.