Organization Active NPI

Landers & Landers Home for the Aged, Inc.

  • Alzheimer Center (Dementia Center)
  • Bloomfield Hills, MI
National Provider Identifier
1003923947
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
AS630337500 Issued in MI
Legal business name
LANDERS & LANDERS HOME FOR THE AGED, INC.
Practice address
1886 Hickory Bark LN
Bloomfield Hills, MI 48304-1116
Phone
(248) 260-7042
Fax
(248) 260-7026
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nichole Aulease Landers, SWT
Title
Coo
Phone
(248) 260-7042

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 311500000X MI
Alzheimer Center (Dementia Center) 311500000X AS630337500 MI Primary
Adult Care Home Facility 311ZA0620X AS630337500
Adult Care Home Facility 311ZA0620X MI
Inpatient Hospice 315D00000X
Inpatient Hospice 315D00000X MI

Addresses

Primary practice location

1886 Hickory Bark LN
Bloomfield Hills, MI 48304-1116

Mailing address

PO Box 33202
1886 Hickory Bark Lane
Bloomfield Hills, MI 48304-1116
Phone (248) 260-7042

Other identifiers 1

IdentifierTypeStateIssuer
1003923947OtherMINPI

Other names 1

  • Home for the Aged, Inc. Former legal business name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1003923947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33202",
            "address_2": "1886 HICKORY BARK LANE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041116",
            "telephone_number": "248-260-7042",
            "fax_number": "248-260-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 HICKORY BARK LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041116",
            "telephone_number": "248-260-7042",
            "fax_number": "248-260-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDERS & LANDERS HOME FOR THE AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "AULEASE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-260-7042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SWT"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "311500000X",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "AS630337500",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": "AS630337500",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003923947",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home for the Aged, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.