Active NPI
Botsford Continuing Care Corporation
Doing business as Beaumont Rehabilitation & Continuing Care, Farmington Hills
- Skilled Nursing Facility
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 634470
- Legal business name
- BOTSFORD CONTINUING CARE CORPORATION
- Doing business as
- Beaumont Rehabilitation & Continuing Care, Farmington Hills
Corewell Health Rehabilitation & Nursing Cnt-Commons Farmington Hills - Practice address
- 21450 Archwood Circle
Farmington Hills, MI 48336-4127 - Phone
- (248) 426-6910
- NPI assigned
- Jul 7, 2006
- Last updated
- May 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 634470 | MI | |
| Skilled Nursing Facility | 314000000X | 634470 | MI | Primary |
Addresses
Primary practice location
21450 Archwood Circle
Farmington Hills, MI 48336-4127
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66202A | Other | MI | HEALTH ALLIANCE PLAN |
| SN630004 | Other | MI | MCARE |
| 09690 | Other | MI | BLUE CROSS |
| 1570034 | Medicaid | MI |
Other names 2
- Beaumont Rehabilitation & Continuing Care, Farmington Hills
- Corewell Health Rehabilitation & Nursing Cnt-Commons Farmington Hills
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 |
|---|---|---|---|---|
| O20090921000703 | MI | Part A Provider - Skilled Nursing Facility | 6507964285 | Practice locations: Farmington Hills, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356374185. Details of each certification follow.
Skilled nursing facility certification: CCN 235462
- Legal name
- BOTSFORD CONTINUING CARE CORPORATION
- Doing business as
- COREWELL HEALTH REHAB & NURSING CENTER-COMMONS FARMINGTON HILLS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Mar 1, 1974
- Last certification
- Oct 30, 2024
- Beds
- 179
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Corewell Health
- Organization structure
- Corporation
- Incorporated
- Dec 12, 1983 in MI
- Enrollment address
- 21450 Archwood Cir
Farmington Hills, MI 48336-4127
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Corewell Health Rehab & Nursing Center-Commons Far
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 1, 1974
- Medicare certification status
- Active
- Certified beds
- 179
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Beaumont Rehabilitation Continuing Care Farmington Hills
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Commons Corewell Health Senior Living-Farmington Hills
- Assisted Living Facility
- Farmington Hills, MI
- NPI 1417983685
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Premier OBGYN
- Obstetrics & Gynecology Physician
- Farmington Hills, MI
- NPI 1609900828
Member Of
Locations
30405 Folsom Rd
Farmington Hills, MI 48336
Phone (248) 477-7400
Ownership & related parties
All disclosed owners & managing parties 22
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 | ||
| Adp of the SNF | Sep 8, 2023 | ||
| Christina Freese Decker | Corporate Officer | Feb 1, 2022 | |
| Adp of the SNF | Feb 1, 2022 | ||
| Adp of the SNF | Jun 16, 2022 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Botsford General Hospital | 5% Or Greater Direct Ownership Interest | Dec 12, 1983 | 100% |
| Operational/Managerial Control | Dec 12, 1983 | ||
| Joseph B Singerman | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Kelli Sadler | Corporate Director | Sep 30, 2023 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Matthew E Cox | Corporate Officer | Feb 1, 2022 | |
| Christopher J Flores | Corporate Director | Oct 20, 2022 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Corewell Health | Adp of the SNF | Jul 3, 2025 | |
| Adp of the SNF | Jun 16, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Tamila Marlow | Operational/Managerial Control | Feb 6, 2025 | |
| Adp of the SNF | Feb 6, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Julie Kaslly | Operational/Managerial Control | Jun 4, 2018 | |
| Adp of the SNF | Jun 4, 2018 |
Owners & managing parties with NPI records 9
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Farmington Village Family Practice (NP)
- General Practice Registered Nurse
- Farmington, MI
- NPI 1134557960
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital-Farmington Hills
- Rehabilitation Hospital Unit
- Farmington Hills, MI
- NPI 1154363406
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1235179664
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Botsford Perinatology Associates
- Maternal & Fetal Medicine Physician
- Farmington Hills, MI
- NPI 1518091735
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Internal Medicine Associates Farmington Hills
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1538103395
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beaumont Pharmacy Farmington Hills
- Community/Retail Pharmacy
- Farmington Hills, MI
- NPI 1619079043
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Midwest Urgent Care
- Urgent Care Clinic/Center
- Redford, MI
- NPI 1831402056
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1891917613
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
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
- Southfield, MI
- NPI 1801998893
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1386089472
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1891917613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1356374185",
"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": "21450 ARCHWOOD CIRCLE",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483364127",
"telephone_number": "248-426-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTSFORD CONTINUING CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"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": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "MI",
"license": "634470",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "634470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "66202A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "SN630004",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "09690",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1570034",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct.direct@beaumont.edu",
"affiliation": "N",
"address_1": "21450 Archwood Cir",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483364127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Beaumont Rehabilitation & Continuing Care, Farmington Hills",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Corewell Health Rehabilitation & Nursing Cnt-Commons Farmington Hills",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.