Organization Active NPI

Marian Village Corporation

Doing business as Marywood Nursing Care Center/Marybrook Manor

  • Skilled Nursing Facility
  • Livonia, MI
National Provider Identifier
1285721449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
824100 Issued in MI
Legal business name
MARIAN VILLAGE CORPORATION
Doing business as
Marywood Nursing Care Center/Marybrook Manor
Practice address
36975 5 Mile Rd
Livonia, MI 48154-1871
Phone
(734) 464-0600
Fax
(734) 632-0709
NPI assigned
Oct 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Sister Elizabeth Ann Marie Schilling, BA, NHA
Title
Administrator
Phone
(734) 464-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 824100 MI Primary

Addresses

Primary practice location

36975 5 Mile Rd
Livonia, MI 48154-1871

Mailing address

36975 5 Mile Rd
Livonia, MI 48154-1871
Phone (734) 464-0600

Other identifiers 1

IdentifierTypeStateIssuer
2915469MedicaidMI

Other names 1

  • Marywood Nursing Care Center/Marybrook Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031114000391 MI Part A Provider - Skilled Nursing Facility 4789598640 Practice locations: Livonia, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285721449. Details of each certification follow.

Skilled nursing facility certification: CCN 235530

Legal name
MARIAN VILLAGE CORPORATION
Doing business as
MARYWOOD NURSING CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 9, 1992
Last certification
Aug 29, 2024
Beds
103
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Oct 27, 1989 in MI
Enrollment address
36975 5 Mile Rd
Livonia, MI 48154-1871
Nursing home name
MARYWOOD NURSING CARE CENTER
Affiliated entity
FELICIAN SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Marywood Nursing Care CenterCCN 235530 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Dec 9, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10395.6 residents per day on average
Chain
Felician Services3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

36975 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-0600

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Kern Individual Corporate DirectorCorporate Director Dec 6, 2023
Tilak Mohan Individual Corporate DirectorBoard Member Jul 1, 2022
John Gerard Glynn Individual Corporate DirectorCorporate Director Dec 6, 2023
Deborah Sue Dunn Individual Corporate DirectorBoard Member Jul 1, 2022
Michael Riordan Individual Corporate DirectorBoard Member Jul 1, 2022
Prasad L Mikkilineni Individual Corporate OfficerMedical Director Dec 1, 1991
Adp of the SNF Dec 1, 1991
John Joseph Hiltz Individual Corporate DirectorCorporate Director Dec 6, 2023
Martin Talty Individual Corporate DirectorBoard Member Jul 1, 2022
Judy Rushlow Individual Operational/Managerial Control Nov 1, 2010
Adp of the SNF Nov 1, 2010
Shirley Masters Individual Corporate OfficerBoard Officer Jul 1, 2022
Vincent Francone Individual Corporate DirectorBoard Member Jul 1, 2022
James Fuller Individual Corporate DirectorBoard Member Jul 1, 2022
Felician Services Inc Organization, Chicago, IL Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 20, 2009 100%
John Mimnaugh Individual Corporate OfficerPresident/Ceo/Administrator Jul 1, 2007 100%
Adp of the SNF Jul 1, 2007
Nancy Jamroz Individual Corporate DirectorBoard Member Jul 1, 2022
Kathryn Kohn-Parrot Individual Corporate DirectorBoard Member Jul 1, 2022
Frank Soltys Individual Corporate DirectorCorporate Director Dec 6, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285721449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36975 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541871",
            "telephone_number": "734-464-0600",
            "fax_number": "734-632-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36975 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541871",
            "telephone_number": "734-464-0600",
            "fax_number": "734-632-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN VILLAGE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "SISTER ELIZABETH ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-464-0600",
        "authorized_official_credential": "BA, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "824100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915469",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marywood Nursing Care Center/Marybrook Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.