ST JOHN SENIOR COMMUNITY (NPI# 1700865169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700865169 |
| Entity Type | Organization |
| Organization Name | ST JOHN SENIOR COMMUNITY |
| Practice Address |
18300 E Warren Detroit MI 48224 |
| Mailing Address |
28000 Dequindre Warren MI 48092 |
| Practice Telephone | 3133438000 |
| Practice Fax Number | 3133438959 |
| Mailing Telephone | 5867530310 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOMASINE F MARX (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 5867530310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | BHS834032 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 09900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199849 | St John Senior Community | Assisted Living Facility | 18300 E Warren, Detroit, MI 48224 | 2006-01-18 |
| Street Address |
18300 E WARREN |
| City | DETROIT |
| State | MI |
| Zip Code | 48224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199849 | St John Senior Community | Assisted Living Facility | 18300 E Warren, Detroit, MI 48224 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| 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 |
| 1366529703 | Cranbrook Geriatric Village, Inc | Skilled Nursing Facility | 5000 E 7 Mile Rd, Detroit, MI 48234-2261 | 2006-11-01 |
| 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 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on ST JOHN SENIOR COMMUNITY.
| 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.