Active NPI
Landers & Landers Home for the Aged, Inc.
- Alzheimer Center (Dementia Center)
- Bloomfield Hills, MI
National Provider Identifier
1003923947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- AS630337500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003923947 | Other | MI | NPI |
Other names 1
- Home for the Aged, Inc.
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Rehabilitation Clinic/Center
- Southfield, MI
- NPI 1184159030
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.