Cranbrook Geriatric Village, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

834290 Issued in MI

Legal business name

CRANBROOK GERIATRIC VILLAGE, INC

Practice address

5000 E 7 Mile Rd
Detroit, MI 48234-2261

Phone

(313) 366-2900

Fax

(313) 366-5357

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald James Bortz

Title

President

Phone

(586) 759-5966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366529703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893903",
            "telephone_number": "586-759-5966",
            "fax_number": "586-759-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342261",
            "telephone_number": "313-366-2900",
            "fax_number": "313-366-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBROOK GERIATRIC VILLAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-759-5966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "834290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Andrew Craig, MD
• Earnell Craighead III
• Kimberley Craighead
• Autumn Grace Cram
• Cassondra Cramer-Bour, M.D.
• David A. Crandall, M.D.
• Crane Care LLC
• Sarah Rose Crane
• Ether Lee Cranford
• Fredrick Keith Cranford, RECOVERY COACH

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.