Active NPI
Special Tree Neuro Care Center
- Skilled Nursing Facility
- Romulus, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SPECIAL TREE NEURO CARE CENTER
- Practice address
- 10909 Hannan Rd
Romulus, MI 48174-1383 - Phone
- (734) 893-1000
- Fax
- (734) 941-7522
- NPI assigned
- Oct 27, 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
- Megen McDonough
- Title
- Director
- Phone
- (734) 893-1094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10909 Hannan Rd
Romulus, MI 48174-1383
Mailing address
10909 Hannan Rd
Romulus, MI 48174-1383
Phone (734) 893-1000
Other names 1
- Special Tree NCC Inpatient
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240509001047 | MI | Part A Provider - Skilled Nursing Facility | 1456763259 | Practice locations: Romulus, MI |
Skilled nursing facility certification: CCN 235734
- Legal name
- SPECIAL TREE NEURO CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 16, 2024
- Last certification
- Jul 17, 2024
- Beds
- 39 (4 certified)
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 10909 Hannan Rd
Romulus, MI 48174-1383 - Nursing home name
- SPECIAL TREE NEUROCARE CENTER
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Special Tree Neurocare Center
- Overall star rating
- Health inspections
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 16, 2024
- Medicare certification status
- Active
- Certified beds
- 4
National Provider Directory
National Provider Directory- Tax ID family
- Residential
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Romulus, MI
- NPI 1144970252
-
- Clinic/Center
- Romulus, MI
- NPI 1306443742
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph J Richert | 5% Or Greater Direct Ownership Interest | Apr 23, 2025 | 11% |
| Adp of the SNF | Jun 2, 2025 | ||
| Direct Ownership Interest | Jun 2, 2025 | 11.1% | |
| Jessica Jean Richert | 5% Or Greater Direct Ownership Interest | Apr 23, 2025 | 5.6% |
| Direct Ownership Interest | Jun 2, 2025 | 5.6% | |
| Basem Almasri | Operational/Managerial Control | Jun 12, 2025 | |
| Adp of the SNF | Jun 12, 2025 | ||
| Megen L Allen | Operational/Managerial Control | Apr 23, 2025 | |
| Adp of the SNF | Jun 26, 2023 | ||
| Joseph C Richert | 5% Or Greater Direct Ownership Interest | Apr 23, 2025 | 83.3% |
| Direct Ownership Interest | Jun 2, 2025 | 83.3% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Roseville, MI
- NPI 1326040510
Adp of the SNF, Operational/Managerial Control
-
- Clinical Psychologist
- Romulus, MI
- NPI 1639620024
5% Or Greater Direct Ownership Interest, Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Romulus, MI
- NPI 1083052526
-
- Occupational Therapist
- Romulus, MI
- NPI 1437844925
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1740016476
-
- Speech-Language Pathologist
- Dearborn Heights, MI
- NPI 1134569213
-
- Speech-Language Pathologist
- Melvindale, MI
- NPI 1760895718
-
- Occupational Therapist
- Romulus, MI
- NPI 1659170603
-
- Clinical Psychologist
- Romulus, MI
- NPI 1639620024
-
- Speech-Language Pathologist
- Plymouth, MI
- NPI 1093484172
-
- Speech-Language Pathologist
- Romulus, MI
- NPI 1982495867
-
- Family Medicine Physician
- Kalamazoo, MI
- NPI 1134128093
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1063598522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10909 HANNAN RD",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481741383",
"telephone_number": "734-893-1000",
"fax_number": "734-941-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 HANNAN RD",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481741383",
"telephone_number": "734-893-1000",
"fax_number": "734-941-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL TREE NEURO CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2022-08-08",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "MCDONOUGH",
"authorized_official_first_name": "MEGEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "734-893-1094"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Special Tree NCC Inpatient",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Romulus, MI
- Kelly Rae Smith, LMSW
- Southeast Michigan Medical Group, PC
- Southeast Michigan Physicians Group
- Special Tree
- Special Tree Home Care Services LLC
- Special Tree Neuro Care Center
- Special Tree Neuro Care Center
- Special Tree Rehabilitation Services LTD
- Special Tree Rehabilitation Services LTD
- Special Tree Residential Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.