Rhema Warren Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

50401 Issued in MI

Legal business name

RHEMA WARREN OPERATING LLC

Practice address

12250 E 12 Mile Rd
Warren, MI 48093-3516

Phone

(586) 751-6200

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Kelsey Hastings

Title

Chief Executive Officer

Phone

(248) 569-8400

Specialties & licenses 1

Addresses

Other names 1

• Advantage Living Center Warren Doing business as

Practitioners 1

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

• Matt Milosek

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
  • NPI 1992395669
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1386183671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25800 NORTHWESTERN HWY",
            "address_2": "SUITE 720",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758403",
            "telephone_number": "248-569-8400",
            "fax_number": "248-569-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933516",
            "telephone_number": "586-751-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA WARREN OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-569-8400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "50401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Living Center Warren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Warren, MI
• Providers in Warren, 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 Feb 20, 2017; 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.