LANDERS REHABILITATION SERVICES LLC (NPI# 1184159030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184159030 |
| Entity Type | Organization |
| Organization Name | LANDERS REHABILITATION SERVICES LLC |
| Other Organization Name | LANDERS REHABITATION |
| Practice Address |
25695 Mulberry Dr Southfield MI 48033-2777 |
| Mailing Address |
25695 Mulberry Dr Po Box 33202 Bloomfield Hills Southfield MI 48033-2777 |
| Practice Telephone | 2489053985 |
| Practice Fax Number | 2482813476 |
| Mailing Telephone | 2489053985 |
| Mailing Fax Number | 2482813476 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | MRS. NICHOLE A LANDERS (PRESIDENT) |
| Authorized Official Telephone | 3132132916 |
| Is Organization Subpart | Y |
| Parent Organization Name | LANDERS & LANDERS HOME FOR THE AGED INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | AS630385934 | MI | Nursing & Custodial Care Facilities |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS630385934 | MI | Nursing & Custodial Care Facilities |
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | AS630385934 | MI | Residential Treatment Facilities |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Landers Rehabitation | Former Legal Business Name - Organization |
| Street Address |
25695 MULBERRY DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164952388 | A Plus Rehab LLC | Clinic/Center | 24315 Northwestern Hwy Ste 101, Southfield, MI 48075-6815 | 2017-06-20 |
| 1972733327 | Health Plus Rehab Inc. | Clinic/Center | 17260 W 10 Mile Rd, Suite # D, Southfield, MI 48075-2949 | 2009-07-20 |
| 1760602668 | Lakeland Neuro Care Center Ptr | Clinic/Center | 26900 Franklin Rd., Southfield, MI 48033 | 2007-04-26 |
| 1639292014 | Physical Therapy Services, Inc. | Clinic/Center | 26400 W 12 Mile Rd Ste 25, Southfield, MI 48034-1774 | 2007-04-09 |
| 1669439915 | All American Rehab Care | Clinic/Center | 20905 Greenfield Rd, Suite 300, Southfield, MI 48075-5360 | 2006-04-28 |
| 1316929730 | First Michigan Health, Inc. | Clinic/Center | 16445 W 12 Mile Rd, Suite 101, Southfield, MI 48076-2949 | 2005-11-20 |
| 1336709252 | Tmi East, Inc. | Clinic/Center | 24111 Civic Center Dr, Southfield, MI 48033-7414 | 2019-06-13 |
| 1902104607 | Theramedic Rehab Inc. | Clinic/Center | 26400 W 12 Mile Rd Ste 25, Southfield, MI 48034-1774 | 2011-03-03 |
| 1255591855 | Physical Therapy Services, Inc. | Clinic/Center | 26400 W 12 Mile Rd Ste 25, Southfield, MI 48034-1774 | 2008-06-17 |
| 1275747941 | Physical Therapy Team, P.C. | Clinic/Center | 24060 W 10 Mile Rd, Ste 102, Southfield, MI 48033-3006 | 2007-05-10 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on LANDERS REHABILITATION SERVICES 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.