St James Nursing & Physical Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC.

Doing business as

St James Nursing Center

Practice address

15063 Gratiot Ave
Detroit, MI 48205-1332

Phone

(313) 372-4065

Fax

(313) 372-0999

NPI assigned

Jul 1, 2005

Last updated

Feb 9, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CIENA HEALTHCARE MANAGEMENT, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mohammad Ashraf Qazi

Title

Ceo

Phone

(248) 386-0300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St James Nursing Center Doing business as

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1215934443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15063 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051332",
            "telephone_number": "313-372-4065",
            "fax_number": "313-372-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15063 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051332",
            "telephone_number": "313-372-4065",
            "fax_number": "313-372-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC.",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-386-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "09520",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737376",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St James Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 9, 2010; 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.