Lourdes, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

60/2151873 Issued in MI

Legal business name

LOURDES, INC

Practice address

2300 Watkins Lake Rd
Waterford, MI 48328-1439

Phone

(248) 674-2241

Fax

(248) 674-1211

NPI assigned

Aug 19, 2005

Last updated

Feb 9, 2023By 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

Mr. Rich Acho

Title

Ceo

Phone

(248) 886-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184616732. Details of each certification follow.

• CCN 235252 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235252

Legal name

LOURDES, INC

Doing business as

LOURDES REHABILITATION & HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 6, 1976

Last certification

Jul 23, 2024

Beds

80

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Enrollment address

2300 Watkins Lake Rd
Waterford, MI 48328-1439

Nursing home name

LOURDES REHABILITATION AND HEALTHCARE CENTER

Listed as

Lourdes Rehabilitation and Healthcare CenterCCN 235252 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jan 6, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8070.0 residents per day on average

Penalties (3 years)

1Fines totaling $15,593

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 16

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 2

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

• Nada S. Aziz, M.D.

  • Hospitalist Physician
  • Troy, MI
  • NPI 1336368950

  Adp of the SNF, Contracted Managing Employee

  CMS ownership
• James Scott Boal, M.D.

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1992703672

  Corporate Director

  CMS ownership

Practitioners 4

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.

• Renny Abraham, MD

  • Internal Medicine Physician
  • Clarkston, MI
  • NPI 1811995673
  NPD (past)
• Violeta Grivej, M.D.

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1699845644
  NPD (past)
• Aditi Gupta, MD

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1174779011
  NPD (past)
• Fadi Salloum, MD

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1205874831
  NPD (past)

Affiliated clinicians 4

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

• Paunel Grivej, MD

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1215986682

  Nursing home

  Care Compare affiliation
• Violeta Grivej, M.D.

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1699845644

  Nursing home

  Care Compare affiliation
• Aditi Gupta, MD

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1174779011

  Nursing home

  Care Compare affiliation
• Fadi Salloum, MD

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1205874831

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1184616732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281439",
            "telephone_number": "248-674-2241",
            "fax_number": "248-674-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281439",
            "telephone_number": "248-674-2241",
            "fax_number": "248-674-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "ACHO",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-886-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "60/2151873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lombardo, FNP
• Kaitlin Marie Long, LMSW
• Shelley Marie Long
• Lourdes Alzheimer's Special Care (Clausen Manor)
• Lourdes Assisted Living (Mendelson Home)
• Mimi Louya, BCBA
• Love and Care Home Care Services LLC
• Mary Aliceson Love-Harris
• Verena Louise Love
• David M Luciw

• Skilled Nursing Facility in Waterford, MI
• Providers in Waterford, 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 Feb 9, 2023; 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.