Active NPI
Oakwood Health Promotions, Inc.
Doing business as Beaumont Rehabilitation & Continuing Care, Dearborn
- Skilled Nursing Facility
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 82-4022
- Legal business name
- OAKWOOD HEALTH PROMOTIONS, INC.
- Doing business as
- Beaumont Rehabilitation & Continuing Care, Dearborn
Corewell Health Rehabilitation & Nursing Center-Commons Dearborn - Practice address
- 16391 Rotunda Dr
Dearborn, MI 48120-1172 - Phone
- (313) 253-9700
- Fax
- (313) 253-9035
- NPI assigned
- Aug 3, 2006
- Last updated
- Apr 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew E Cox
- Title
- Chief Financial Officer
- Phone
- (947) 522-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 82-4022 | MI | Primary |
Addresses
Primary practice location
16391 Rotunda Dr
Dearborn, MI 48120-1172
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000005083A | Other | MI | CAPE HEALTH |
| 4437126 | Other | MI | AETNA |
| 2588801 | Other | MI | CIGNA |
| 2741252 | Medicaid | MI | |
| SN820008 | Other | MI | M-CARE |
Other names 2
- Beaumont Rehabilitation & Continuing Care, Dearborn
- Corewell Health Rehabilitation & Nursing Center-Commons Dearborn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070216000543 | MI | Part A Provider - Skilled Nursing Facility | 5597867846 | Practice locations: Dearborn, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306854666. Details of each certification follow.
Skilled nursing facility certification: CCN 235502
- Legal name
- OAKWOOD HEALTH PROMOTIONS, INC.
- Doing business as
- COREWELL HEALTH REHABILITATION & NURSING CENTER-COMMONS DEARBORN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 12, 1991
- Last certification
- Mar 19, 2025
- Beds
- 196
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Corewell Health
- Organization structure
- Corporation
- Incorporated
- Jan 24, 1985 in MI
- Enrollment address
- 16391 Rotunda Dr
Dearborn, MI 48120-1172
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Riverside Commons Rehab and Nursing Center, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 12, 1991
- Medicare certification status
- Active
- Certified beds
- 196
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
26901 Beaumont Blvd
Bldg D6
Southfield, MI 48033
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Karen R Pakkala | Corporate Officer | Sep 8, 2023 | 100% |
| Corporate Director | Sep 30, 2023 | ||
| Operational/Managerial Control | Sep 8, 2023 | ||
| Adp of the SNF | Sep 8, 2023 | ||
| Christina Freese Decker | Corporate Officer | Feb 1, 2022 | |
| Oakwood Healthcare Inc | 5% Or Greater Direct Ownership Interest | Jan 24, 1985 | 100% |
| Operational/Managerial Control | Jan 24, 1985 | ||
| Kelli Sadler | Corporate Director | Sep 30, 2023 | |
| Beaumont Health | 5% Or Greater Indirect Ownership Interest | Sep 1, 2014 | 100% |
| Matthew E Cox | Corporate Officer | Feb 1, 2022 | |
| Operational/Managerial Control | Feb 1, 2022 | 100% | |
| Christopher J Flores | Corporate Director | Oct 20, 2022 | |
| Corewell Health | 5% Or Greater Indirect Ownership Interest | Feb 1, 2022 | 100% |
| Operational/Managerial Control | Feb 1, 2022 | ||
| Dean H Rumsey | Operational/Managerial Control | Sep 21, 2020 | |
| Adp of the SNF | Sep 21, 2020 | ||
| Tamila Marlow | Operational/Managerial Control | Feb 6, 2025 | |
| Adp of the SNF | Feb 6, 2025 | ||
| Ali H Mahmood | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 |
Owners & managing parties with NPI records 9
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Van Buren TWP, MI
- NPI 1265954473
Adp of the SNF, Operational/Managerial Control
-
dba Beaumont Children's PATCH Program
- Community Based Hospice Care Agency
- Southfield, MI
- NPI 1437761418
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Corewell Health Retail Pharmacy-Trenton
- Community/Retail Pharmacy
- Trenton, MI
- NPI 1730327321
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital - Taylor
- Rehabilitation Hospital Unit
- Taylor, MI
- NPI 1225088966
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital - Dearborn
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1336174440
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 68
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Beaumont Hospital-Farmington Hills
- Rehabilitation Hospital Unit
- Farmington Hills, MI
- NPI 1154363406
Beaumont Health, Corewell Health
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
Beaumont Health, Corewell Health
-
dba Caring Circle
- Community Based Hospice Care Agency
- Saint Joseph, MI
- NPI 1831186311
Corewell Health
-
dba Corewell Health Watervliet Hospital Primary Care - Hartford
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
Corewell Health
-
- Rehabilitation Hospital Unit
- Watervliet, MI
- NPI 1033243399
Corewell Health
-
dba Corewell Health Watervliet Hospital Primary Care - Coloma
- Rural Health Clinic/Center
- Coloma, MI
- NPI 1083710701
Corewell Health
-
dba Corewell Health Watervliet Hospital
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
Corewell Health
-
dba Corewell Health Watervliet Hospital Southwestern Medical Multispecial
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
Corewell Health
-
dba Corewell Health Watervliet Hospital
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
Corewell Health
-
dba Corewell Health Lakeland Hospitals Homecare Meadowbrook
- Home Health Agency
- Benton Harbor, MI
- NPI 1912094525
Corewell Health
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
Corewell Health
-
dba Corewell Health Lakeland Hospitals St. Joseph Hospital
- Psychiatric Hospital Unit
- Saint Joseph, MI
- NPI 1477640084
Corewell Health
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1700140431
-
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
- NPI 1801938162
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1699115535
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1689962136
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
- NPI 1801938162
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Van Buren TWP, MI
- NPI 1265954473
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1306854666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16391 ROTUNDA DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201172",
"telephone_number": "313-253-9700",
"fax_number": "313-253-9035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKWOOD HEALTH PROMOTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "947-522-3333"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "82-4022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH",
"identifier": "00000005083A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4437126",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2588801",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2741252",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "SN820008",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.beaumont.edu",
"affiliation": "N",
"address_1": "16391 Rotunda Dr",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481201172",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Beaumont Rehabilitation & Continuing Care, Dearborn",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beaumont Rehabilitation & Continuing Care, Dearborn",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Corewell Health Rehabilitation & Nursing Center-Commons Dearborn",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.