WOODHAVEN OF LIVONIA (NPI# 1316996226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316996226 |
| Entity Type | Organization |
| Organization Name | WOODHAVEN OF LIVONIA |
| Other Organization Name | WOODHAVEN RETIREMENT COMMUNITY |
| Practice Address |
29667 Wentworth St Livonia MI 48154-6231 |
| Practice Telephone | 7342619000 |
| Practice Fax Number | 7342619003 |
| Mailing Telephone | 7342619000 |
| Mailing Fax Number | 7342619003 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RANDALL W. GASSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7342619000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 824514 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4625216 | 05 |
| Other Name | Type Code |
|---|---|
| Woodhaven Retirement Community | Doing Business As Name - Organization |
| Street Address |
29667 WENTWORTH ST |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295299147 | Dawn E. Ziegler | Occupational Therapy Assistant | 29667 Wentworth St, Livonia, MI 48154-6231 | 2019-01-24 |
| 1548624729 | Jared Irvin Tucker | Internal Medicine | 29667 Wentworth St, Livonia, MI 48154-6231 | 2016-04-13 |
| 1306190368 | Shannon R Stockwell | Physician Assistant | 29667 Wentworth St, Livonia, MI 48154-6231 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| 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 |
|---|---|---|---|---|
| 1285721449 | Marian Village Corporation | Skilled Nursing Facility | 36975 5 Mile Rd, Livonia, MI 48154-1871 | 2006-10-09 |
| 1245272897 | Heartland-university of Livonia Mi LLC | Skilled Nursing Facility | 28550 Five Mile Rd, Livonia, MI 48154-3866 | 2006-06-11 |
| 1942249818 | Heartland-dorvin of Livonia Mi LLC | Skilled Nursing Facility | 29270 Morlock St, Livonia, MI 48152-2044 | 2006-06-06 |
| 1801854815 | St. Jude Nursing Center, Inc. | Skilled Nursing Facility | 34350 Ann Arbor Trl, Livonia, MI 48150-3606 | 2006-05-02 |
| 1366443228 | Trinity Continuing Care Services | Skilled Nursing Facility | 15475 Middlebelt Rd, Livonia, MI 48154-3805 | 2005-08-02 |
| 1720085053 | Middlebelt Hope Acquistion Company Inc | Skilled Nursing Facility | 14900 Middlebelt Rd, Livonia, MI 48154-4033 | 2005-07-01 |
| 1669477873 | Conesus Lake Nursing Home, LLC | Skilled Nursing Facility | 6131 Big Tree Rd, Livonia, NY 14487-9608 | 2005-06-15 |
| 1811538903 | Livonia Snf Operating, LLC | Skilled Nursing Facility | 34350 Ann Arbor Trl, Livonia, MI 48150-3606 | 2019-10-01 |
| 1811479330 | Fountain Bleu Health and Rehabilitation Center Inc | Skilled Nursing Facility | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2018-08-31 |
| 1235628868 | Livonia Snf, LLC | Skilled Nursing Facility | 29270 Morlock St, Livonia, MI 48152 | 2018-05-09 |
| Find all providers in LIVONIA | ||||
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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.