CRANBROOK GERIATRIC VILLAGE, INC (NPI# 1366529703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366529703 |
| Entity Type | Organization |
| Organization Name | CRANBROOK GERIATRIC VILLAGE, INC |
| Practice Address |
5000 E 7 Mile Rd Detroit MI 48234-2261 |
| Mailing Address |
11700 E 10 Mile Rd Warren MI 48089-3903 |
| Practice Telephone | 3133662900 |
| Practice Fax Number | 3133665357 |
| Mailing Telephone | 5867595966 |
| Mailing Fax Number | 5867598006 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD JAMES BORTZ (PRESIDENT) |
| Authorized Official Telephone | 5867595966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 834290 | MI | Nursing & Custodial Care Facilities |
| Street Address |
5000 E 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151835 | Mission Point of Cranbrook LLC | Skilled Nursing Facility | 5000 E 7 Mile Rd, Detroit, MI 48234-2261 | 2020-10-16 |
| 1174052484 | The Bay At Cranbrook Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 5000 E 7 Mile Rd, Detroit, MI 48234-2261 | 2017-06-08 |
| 1982046983 | Lakeshore Healthcare Cranbrook Campus Inc | Skilled Nursing Facility | 5000 E 7 Mile Rd, Detroit, MI 48234-2261 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1518916840 | Rhema Northwest Operating LLC | Skilled Nursing Facility | 16181 Hubbell St, Detroit, MI 48235 | 2006-05-05 |
| Find all providers in DETROIT | ||||
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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.