Cadillac Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

L2044430 Issued in MI

Legal business name

CADILLAC NURSING HOME INC.

Practice address

1533 Cadillac Blvd
Detroit, MI 48214-3107

Phone

(313) 823-0435

Fax

(248) 577-2648

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bradley J. M. Mali

Title

President

Phone

(248) 577-2632

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• ST FRANCIS NURSING CENTER Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1144216417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 CADILLAC BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143107",
            "telephone_number": "313-823-0435",
            "fax_number": "248-577-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 CADILLAC BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143107",
            "telephone_number": "313-823-0435",
            "fax_number": "248-577-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "MALI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J. M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-577-2632",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "834210",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "L2044430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150983",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144216417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S9525",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST FRANCIS NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnathan Jame Cabil
• Adonyah Cabine
• Aljanae Cadet
• Cadieux Discount Pharmacy LLC
• Vesna Cadikovska, PA-C
• Pravit Cadnapaphornchai, MD
• Tia Renee Cadogan
• Susan Anne Cadwell, MA LPC
• Nur Sena Cagatay, MD
• Lafonda Cage

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, 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 23, 2012; 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.