Detroit Baptist Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DETROIT BAPTIST MANOR

Practice address

30301 W 13 Mile Rd
Farmington Hills, MI 48334-2209

Phone

(248) 626-6100

Fax

(248) 539-1522

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Goleski

Title

Executive Director

Phone

(248) 626-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164557807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 W 13 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342209",
            "telephone_number": "248-626-6100",
            "fax_number": "248-539-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30301 W 13 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342209",
            "telephone_number": "248-626-6100",
            "fax_number": "248-539-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT BAPTIST MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLESKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-626-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Farmington Hills, MI
• Providers in Farmington Hills, 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.