Organization Active NPI

Botsford Continuing Care Corporation

Doing business as Beaumont Rehabilitation & Continuing Care, Farmington Hills

  • Skilled Nursing Facility
  • Farmington Hills, MI
National Provider Identifier
1356374185
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
634470 Issued in MI
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66202AOtherMIHEALTH ALLIANCE PLAN
SN630004OtherMIMCARE
09690OtherMIBLUE CROSS
1570034MedicaidMI

Other names 2

  • Beaumont Rehabilitation & Continuing Care, Farmington Hills Doing business as
  • Corewell Health Rehabilitation & Nursing Cnt-Commons Farmington Hills Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.direct@beaumont.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 FarCCN 235462 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
179101.6 residents per day on average
Penalties (3 years)
1Fines totaling $15,593

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Beaumont Rehabilitation Continuing Care Farmington Hills2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NameRoleSinceShare
Karen R Pakkala Individual Corporate OfficerVP Continuing Care Services Sep 8, 2023 100%
Corporate DirectorBoard Member Sep 30, 2023
Adp of the SNF Sep 8, 2023
Christina Freese Decker Individual Corporate OfficerPresident & Ceo Corewell Health Feb 1, 2022
Adp of the SNF Feb 1, 2022
Individual Adp of the SNF Jun 16, 2022
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2022
Botsford General Hospital Organization, Southfield, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 1983 100%
Operational/Managerial Control Dec 12, 1983
Joseph B Singerman Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Individual Adp of the SNF Jan 1, 2024
Kelli Sadler Individual Corporate DirectorBoard Member, BCCC Sep 30, 2023
Individual Adp of the SNF Jan 1, 2021
Individual Adp of the SNF Jan 1, 2024
Matthew E Cox Individual Corporate OfficerChief Financial Officer Feb 1, 2022
Christopher J Flores Individual Corporate DirectorBoard Member, BCCC Oct 20, 2022
Individual Adp of the SNF Jan 1, 2024
Corewell Health Organization, Grand Rapids, MI Non-profit, Chain home office Adp of the SNF Jul 3, 2025
Individual Adp of the SNF Jun 16, 2022
Individual Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Jan 1, 2021
Tamila Marlow Individual Operational/Managerial Control Feb 6, 2025
Adp of the SNF Feb 6, 2025
Individual Adp of the SNF Jan 1, 2025
Julie Kaslly Individual 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.

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.

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

Verify at the official NPI Registry.