Applewood Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

82-4510 Issued in MI

Legal business name

APPLEWOOD NURSING CENTER INC

Practice address

18500 Van Horn Rd
Woodhaven, MI 48183-3803

Phone

(734) 676-7575

Fax

(734) 692-0039

NPI assigned

Nov 20, 2006

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly M. Tackett

Title

President

Phone

(248) 543-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063586923. Details of each certification follow.

• CCN 235375 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235375

Legal name

APPLEWOOD NURSING CENTER INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 17, 1978

Last certification

Apr 17, 2025

Beds

150

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 22, 1977 in MI

Enrollment address

18500 Van Horn Rd
Woodhaven, MI 48183-3803

Nursing home name

APPLEWOOD NURSING CENTER, INC

Affiliated entity

SYMPHONY CARE NETWORK

Listed as

Applewood Nursing Center, IncCCN 235375 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 17, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150133.4 residents per day on average

Chain

Symphony Care Network7 facilities in the chain

Penalties (3 years)

2Fines totaling $63,665

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Amelia Milani Jones, OTR/L

  • Hand Occupational Therapist
  • Southfield, MI
  • NPI 1740456557

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Cliffside Company L L C

  dba Coventry House Inn

  • Nursing Facility/Intermediate Care Facility
  • Saint Joseph, MI
  • NPI 1801962097

  Aria Consulting Services LLC, Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust

  CMS ownership
• Symphony of Brighton Healthcare Center, LLC

  dba Caretel Inns of Brighton

  • Skilled Nursing Facility
  • Brighton, MI
  • NPI 1275609877

  Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust

  CMS ownership
• Wood Care VIII Inc

  dba Caretel Inns of Tri-Cities

  • Skilled Nursing Facility
  • Bay City, MI
  • NPI 1881755262

  Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust

  CMS ownership
• Wood Care X, Inc.

  dba Caretel Inns of Linden

  • Skilled Nursing Facility
  • Linden, MI
  • NPI 1730386665

  Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust

  CMS ownership
• Ignite Medical Resort Dyer, LLC

  • Skilled Nursing Facility
  • Dyer, IN
  • NPI 1427834597

  Drake Louis Enterprise, LLC

  CMS ownership
• Symphony Maple Crest LLC

  dba Maple Crest Care Centre

  • Skilled Nursing Facility
  • Belvidere, IL
  • NPI 1427325778

  Drake Louis Enterprise, LLC, Willow Delta Trust

  CMS ownership
• Symphony Northwoods LLC

  dba Northwoods Care Centre

  • Skilled Nursing Facility
  • Belvidere, IL
  • NPI 1407124811

  Drake Louis Enterprise, LLC, Willow Delta Trust

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad M Ahmad, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1992048607
  NPD (past)
• Sandhya Misra, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1205066941
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ahmad M Ahmad, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1992048607

  Nursing home

  Care Compare affiliation
• Sandhya Misra, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1205066941

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1063586923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WASHINGTON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673216",
            "telephone_number": "248-543-7300",
            "fax_number": "248-399-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 VAN HORN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833803",
            "telephone_number": "734-676-7575",
            "fax_number": "734-692-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWOOD NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-543-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "82-4510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09809",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60-2084654",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Skilled Nursing Facility in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.