WARREN GERIATRIC VILLAGE, INC (NPI# 1396822771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396822771 |
Entity Type | Organization |
Organization Name | WARREN GERIATRIC VILLAGE, INC |
Other Organization Name | BORTZ HEALTH CARE OF WARREN |
Practice Address |
11700 E 10 Mile Rd Warren MI 48089-3903 |
Practice Telephone | 5867595960 |
Practice Fax Number | 5867593352 |
Mailing Telephone | 5867595960 |
Mailing Fax Number | 5867595960 |
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 | 504190 | MI | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
bortz health care of warren | Doing Business As Name - Organization |
Street Address |
11700 E 10 MILE RD |
City | WARREN |
State | MI |
Zip Code | 48089-3903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497228829 | Laura Lynn Foster | Speech-Language Pathologist | 11700 E 10 Mile Rd, Warren, MI 48089-3903 | 2019-01-08 |
1285101659 | Kelly Marie Sebell | Occupational Therapist | 11700 E 10 Mile Rd, Warren, MI 48089-3903 | 2018-10-24 |
1245610328 | Warren Opco, LLC | Skilled Nursing Facility | 11700 E 10 Mile Rd, Warren, MI 48089-3903 | 2015-06-04 |
1598929523 | Jbs Care Company Inc | Durable Medical Equipment & Medical Supplies | 11700 E 10 Mile Rd, Warren, MI 48089-3903 | 2008-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
Find all providers in zip 48089 |
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 |
---|---|---|---|---|
1467735977 | Van Dyke Partners LLC | Skilled Nursing Facility | 31800 Van Dyke Ave, Warren, MI 48093-7907 | 2011-09-21 |
1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
1598852782 | Thi of Ohio At Imperial, LLC | Skilled Nursing Facility | 4121 Tod Ave Nw, Warren, OH 44485-1258 | 2006-10-07 |
1770670952 | Thi of Ohio At Horizon Village, LLC | Skilled Nursing Facility | 2473 North Rd Ne, Warren, OH 44483-3054 | 2006-10-07 |
1184722522 | Gillette Nursing Home, Inc. | Skilled Nursing Facility | 3310 Elm Rd Ne, Warren, OH 44483-2614 | 2006-09-20 |
1427169564 | Ridgecrest Healthcare Group Inc. | Skilled Nursing Facility | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2006-08-31 |
1477563120 | Omni Manor, Inc. | Skilled Nursing Facility | 200 Glendola Ave Nw, Warren, OH 44483-1247 | 2006-08-08 |
1053325951 | Hcf of Warren, Inc. | Skilled Nursing Facility | 682 Pleasant Dr, Warren, PA 16365-3468 | 2006-07-28 |
1063433225 | Community Skilled Nursing Centre | Skilled Nursing Facility | 1320 Mahoning Ave Nw, Warren, OH 44483-2002 | 2006-07-22 |
1538102769 | Ssc Warren Operating Company LLC | Skilled Nursing Facility | 11525 East Ten Mile Road, Warren, MI 48089-3802 | 2006-06-14 |
Find all providers in WARREN |
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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.