NEW LIGHT BAPTIST CHURCH NURSING HOME, INC.


Address: 9500 Grand River Ave, Detroit, MI 48204-2132
Phone: 3134917920

NEW LIGHT BAPTIST CHURCH NURSING HOME, INC. (NPI# 1720071707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720071707
Entity Type Organization
Organization Name NEW LIGHT BAPTIST CHURCH NURSING HOME, INC.
Other Organization Name NEW LIGHT NURSING HOME, INC.
Practice Address 9500 Grand River Ave
Detroit
MI 48204-2132
Practice Telephone 3134917920
Practice Fax Number 3134910510
Mailing Telephone 3134917920
Mailing Fax Number 3134910510
Enumeration Date 2005-08-25
Last Update Date 2020-08-22
Authorized Official Name MR. GEORGE B. TALLEY (ADMINISTRATOR)
Authorized Official Telephone 3134917920
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 2152057 MI Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 2152057 05

Other Provider/Organization Names

Other Name Type Code
New Light Nursing Home, Inc. Other Name - Individual/Organization

Office Location

Street Address 9500 GRAND RIVER AVE
City DETROIT
State MI
Zip Code 48204-2132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023676228 Jarin Jaigirdar Occupational Therapist 9500 Grand River Ave, Detroit, MI 48204-2132 2019-06-03
1184281610 Faryal Shaheen Occupational Therapist 9500 Grand River Ave, Detroit, MI 48204-2132 2019-05-21
1164772646 Heritage Manor Nursing & Rehab Center Skilled Nursing Facility 9500 Grand River Ave, Detroit, MI 48204-2132 2012-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1104132703 Chelseas Home Care Custodial Care Facility 12391 Birwood, Detroit, MI 48204 2010-08-20
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1346498250 Jamila B Boulaalam Dentist 9685 Gd River, Detroit, MI 48204 2008-09-04
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1861510679 Roger James Gregory Counselor 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 2007-03-27
1558464743 Gerald Jacob Najor Pharmacist 7350 Grand River, Fraser Drugs, Detroit, MI 48204 2006-09-06
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City DETROIT
Zip Code 48204

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Dataset Information

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.

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