St John Senior Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST JOHN SENIOR COMMUNITY

Practice address

18300 E Warren
Detroit, MI 48224

Phone

(313) 343-8000

Fax

(313) 343-8959

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Tomasine F Marx

Title

Vice President Finance

Phone

(586) 753-0310

Specialties & licenses 1

Addresses

Tax ID family

Senior Community Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Senior Community Nursing Center

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Detroit, MI
  • NPI 1275748022
  NPD tax ID

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033199849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 DEQUINDRE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-753-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 E WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48224",
            "telephone_number": "313-343-8000",
            "fax_number": "313-343-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN SENIOR COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "TOMASINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "586-753-0310"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St John Macomb Oakland Hospital
• St John Macomb Oakland Hospital
• St John Providence
• St John Providence Eastwood Clinic
• St John Providence Health Systems
• St John Senior Community
• Ginger Ann St John, LMSW
• St Mary Mercy Physician Practices
• St Mary Rehabilitation Services LLC
• St. John Detroit Riverview

• Assisted Living Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.