Salem Street Manor

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS820288716 Issued in MI

Legal business name

SALEM STREET MANOR

Practice address

18474 Salem St
Detroit, MI 48219-3055

Phone

(313) 505-6525

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Nicole S Guyton

Title

Owner

Phone

(313) 505-6525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1356661714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18474 SALEM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193055",
            "telephone_number": "313-505-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18474 SALEM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193055",
            "telephone_number": "313-505-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM STREET MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "GUYTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-505-6525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820288716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam M Saleh, DO
• Souad M Saleh, DO
• Warda Saleh, OTR
• Mohammad Salehi
• Salem Manor Inc.
• Abir Salem
• Diane Salem, MD
• Menatalla Salem, M.D.
• Nagla Elsayed Salem, MD
• Sammy A Salem

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.