Presbyterian Village Redford

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRESBYTERIAN VILLAGE REDFORD

Practice address

25330 W 6 Mile Rd
Redford, MI 48240-2105

Phone

(313) 531-6874

Fax

(313) 541-6491

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Rose Coleman, RN, NHA

Title

Administrator

Phone

(313) 541-6418

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Village of Redford Doing business as

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407855695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25330 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402105",
            "telephone_number": "313-531-6874",
            "fax_number": "313-541-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25330 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402105",
            "telephone_number": "313-531-6874",
            "fax_number": "313-541-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN VILLAGE REDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-541-6418",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "824250",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FACILITY NUMBER",
            "identifier": "824250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village of Redford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Potter-Gallant, MA, LLP
• Ashley Nichole Poulos, FNP-C
• Precare Pharmacy LLC
• Premier Cure LLC
• Tiffany Alisha Presberry, L.L.M.S.W.
• Prevail Rehab Center, Inc
• Primecare Medical Centers of Michigan, P.L.L.C.
• Ruth Prince
• Priority One Urgent Care Centers PLLC
• Prompt Medical Equipment and Supplies Inc

• Assisted Living Facility in Redford, MI
• Providers in Redford, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.