Rhema-Roseville Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

50418 Issued in MI

Legal business name

RHEMA-ROSEVILLE OPERATING LLC

Doing business as

Advantage Living Center-Roseville

Practice address

25375 Kelly Rd
Roseville, MI 48066-4960

Phone

(586) 773-6022

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By 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

Kelsey Hastings

Title

Chief Executive Officer

Phone

(248) 569-8400

Specialties & licenses 1

Addresses

Other names 1

• Advantage Living Center-Roseville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1417354200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 925",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "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": "25375 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664960",
            "telephone_number": "586-773-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA-ROSEVILLE OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "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": "50418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Living Center-Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Roseville, MI
• Providers in Roseville, 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 Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.