NPIMap

Organization Active NPI

West Bloomfield SNF LLC

  • Skilled Nursing Facility
  • West Bloomfield, MI
National Provider Identifier
1255820890
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST BLOOMFIELD SNF LLC
Practice address
6950 Farmington Rd
West Bloomfield, MI 48322-3220
Phone
(248) 661-1700
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Yair Zuckerman
Title
Manager
Phone
(773) 517-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6950 Farmington Rd
West Bloomfield, MI 48322-3220

Mailing address

620 Davis St Ste 200
Evanston, IL 60201-4419

Other names 2

  • Illuminate HC West Bloomfield Doing business as
  • SKLD West Bloomfield Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1255820890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 FARMINGTON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223220",
            "telephone_number": "248-661-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-517-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC West Bloomfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD West Bloomfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.