Rhema - Northwest Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

834870 Issued in MI

Legal business name

RHEMA - NORTHWEST OPERATING LLC

Doing business as

Manor of Northwest Detroit

Practice address

16181 Hubbell St
Detroit, MI 48235-4026

Phone

(313) 273-8764

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derrick Robinson

Title

Finance

Phone

(248) 569-8400

Specialties & licenses 1

Addresses

Other names 1

• Manor of Northwest Detroit Doing business as

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1417145111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16181 HUBBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354026",
            "telephone_number": "313-273-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16181 HUBBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354026",
            "telephone_number": "313-273-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA - NORTHWEST OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "248-569-8400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "834870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor of Northwest Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stewart Reynolds
• Berta Rezik, M.D.
• Mohamed Rezik, D.O
• RGH Enterprises, LLC (Edgepark Medical Supplies)
• Matthew C. Rheinboldt, MD
• Rhema Northwest Operating LLC (Manor of Northwest Detroit Skilled Nursing and Rehabilitation)
• Sook Ja Rhim, M.D.
• RHLL, LLC
• Joshua Doyle Rhodenizer, DPM
• Renee Rhodes-King

• 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 Oct 9, 2007; 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.