Magnum Health and Rehab of Monroe LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNUM HEALTH AND REHAB OF MONROE LLC

Doing business as

Magnum Care of Monroe

Practice address

1215 N Telegraph Rd
Monroe, MI 48162-3368

Phone

(734) 242-4848

Fax

(734) 242-2007

NPI assigned

Apr 23, 2010

Last updated

Jan 27, 2015By 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

Susan Stoddard

Title

Administrator

Phone

(734) 242-4848

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnum Care of Monroe Doing business as

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1134446677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623368",
            "telephone_number": "734-242-4848",
            "fax_number": "734-242-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623368",
            "telephone_number": "734-242-4848",
            "fax_number": "734-242-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM HEALTH AND REHAB OF MONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-242-4848"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "23-5232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnum Care of Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Michael Maciver, NP
• Mary Ann Mack, RN
• Judy A Macy, M.D.
• Murthy S Madhira, M.D.
• Kaitlyn Madubuike, PA
• Kelly Magrum, NP-C
• Ashwini Mahajani, P.T.
• Amanpreet S Mahal, MD
• Maris Mahalak
• Jill Corbin Mahoney, PT

• Skilled Nursing Facility in Monroe, MI
• Providers in Monroe, 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 Jan 27, 2015; 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.