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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2152057 | MI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2152057 | 05 |
Other Name | Type Code |
---|---|
New Light Nursing Home, Inc. | Other Name - Individual/Organization |
Street Address |
9500 GRAND RIVER AVE |
City | DETROIT |
State | MI |
Zip Code | 48204-2132 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
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 |
1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
Find all providers in zip 48204 |
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 NEW LIGHT BAPTIST CHURCH NURSING HOME, INC..
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.