Organization Active NPI

Senior Community Nursing Center

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Detroit, MI
National Provider Identifier
1275748022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
SENIOR COMMUNITY NURSING CENTER
Practice address
18300 E Warren Ave
Detroit, MI 48224-1343
Phone
(313) 343-8000
Fax
(313) 343-8959
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie Kaslly
Title
Administrator
Phone
(313) 343-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

18300 E Warren Ave
Detroit, MI 48224-1343

Mailing address

18300 E Warren Ave
Detroit, MI 48224-1343
Phone (313) 343-8000

National Provider Directory

National Provider Directory
Tax ID family
Senior Community Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275748022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241343",
            "telephone_number": "313-343-8000",
            "fax_number": "313-343-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241343",
            "telephone_number": "313-343-8000",
            "fax_number": "313-343-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COMMUNITY NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASLLY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-343-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • 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.