LUTHERAN HOMES OF MICHIGAN, INC. (NPI# 1518961192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518961192 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOMES OF MICHIGAN, INC. |
| Other Organization Name | LUTHERAN HOME-LIVONIA-SPECIAL CARE UNIT |
| Practice Address |
28910 Plymouth Rd Special Care Unit Livonia MI 48150-2337 |
| Mailing Address |
9710 Junction Rd P.o. Box 329 Frankenmuth MI 48734-0329 |
| Practice Telephone | 7344254814 |
| Practice Fax Number | 7344256024 |
| Mailing Telephone | 9896523470 |
| Mailing Fax Number | 9896523480 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MR. MICHAEL G CORBY (CONTROLLER) |
| Authorized Official Telephone | 9896523470 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN HOMES OF MICHIGAN, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS INS. PROVIDER # | S 9505 | 01 |
| Other Name | Type Code |
|---|---|
| Lutheran Home-Livonia-Special Care Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870286 | Lutheran Homes of Michigan, Inc. | Assisted Living Facility | 725 W Genesee St, Home for The Aged, Frankenmuth, MI 48734-1316 | 2005-06-10 |
| 1760022941 | Lutheran Homes of Michigan, Inc. | Family Medicine | 5935 Shattuck Rd, Saginaw, MI 48603-2699 | 2020-01-15 |
| 1639173362 | Lutheran Homes of Michigan, Inc. | Skilled Nursing Facility | 725 W Genesee St, Frankenmuth, MI 48734-1316 | 2005-06-10 |
| 1932103678 | Lutheran Homes of Michigan, Inc. | Skilled Nursing Facility | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2005-06-10 |
| Street Address |
28910 PLYMOUTH RD SPECIAL CARE UNIT |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811479330 | Fountain Bleu Health and Rehabilitation Center Inc | Skilled Nursing Facility | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2018-08-31 |
| 1639673619 | Joachima Ann King Leyson | Physical Therapist | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2018-03-22 |
| 1619058500 | Savior's Grace Home Care, LLC | Home Health | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2006-10-18 |
| 1932103678 | Lutheran Homes of Michigan, Inc. | Skilled Nursing Facility | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131344 | Garth Hutton | Assisted Living Facility | 1404 Territorial Rd W, Battle Creek, MI 49015-2751 | 2019-08-27 |
| 1669968129 | Lake Shore Afc, LLC | Assisted Living Facility | 2480 Tonawanda Lake Rd, Grawn, MI 49637-9615 | 2018-07-09 |
| 1053837922 | Raekesha Lachelle Mcmillian | Assisted Living Facility | 820 Watkins St Se, Grand Rapids, MI 49507-1345 | 2017-08-22 |
| 1942691191 | Stoneridge Adult Foster Care | Assisted Living Facility | 4825 Fruin Rd, Bellevue, MI 49021-8209 | 2015-02-10 |
| 1942605746 | D & J Home Care 3, LLC | Assisted Living Facility | 33255 26 Mile Rd, Lenox, MI 48048-2904 | 2014-10-23 |
| 1043614852 | D & J Home Care, Inc. | Assisted Living Facility | 5485 Smiths Creek Rd, Kimball, MI 48074-3811 | 2014-10-22 |
| 1689004921 | Niche Aging Center | Assisted Living Facility | 3405 E Midland Rd, Bay City, MI 48706-2825 | 2013-11-23 |
| 1992135313 | Bavarian Comfort Care | Assisted Living Facility | 5366 W Rolling Hills Dr, Bridgeport, MI 48722-9671 | 2013-11-21 |
| 1184803678 | Dianes Sweet Home,inc | Assisted Living Facility | 7750 Carpenter Rd, Ypsilanti, MI 48197-8847 | 2007-10-31 |
| 1760677751 | Mastrofrancesco Afc Inc | Assisted Living Facility | 18787 Ray St, Riverview, MI 48193-7428 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
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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.