Organization Active NPI

Samaritas

  • Skilled Nursing Facility
  • Cadillac, MI
National Provider Identifier
1366633018
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
844020 Issued in MI
Legal business name
SAMARITAS
Practice address
460 Pearl St
Cadillac, MI 49601-2620
Phone
(231) 775-0101
Fax
(231) 775-1390
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Bridgette Zappacosta
Title
Cfo
Phone
(313) 308-2768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 844020 MI Primary

Addresses

Primary practice location

460 Pearl St
Cadillac, MI 49601-2620

Mailing address

8131 E Jefferson Ave
Detroit, MI 48214-2610
Phone (313) 823-7700

Other identifiers 2

IdentifierTypeStateIssuer
09537OtherMIBCBS
5189936MedicaidMI

Other names 3

  • Lakeview Lutheran Manor Doing business as
  • Lutheran Social Services of Michigan Former legal business name
  • Samaritas Senior Living Cadillac Other name

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Lutheran Manor2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1366633018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142610",
            "telephone_number": "313-823-7700",
            "fax_number": "313-823-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 PEARL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012620",
            "telephone_number": "231-775-0101",
            "fax_number": "231-775-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "ZAPPACOSTA",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "313-308-2768"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "844020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09537",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189936",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Lutheran Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lutheran Social Services of Michigan",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Samaritas Senior Living Cadillac",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.