Active NPI
Botsford Continuing Health Center
Doing business as The Commons Corewell Health Senior Living-Farmington Hills
- Assisted Living Facility
- Farmington Hills, MI
National Provider Identifier
1417983685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 634470
- Legal business name
- BOTSFORD CONTINUING HEALTH CENTER
- Doing business as
- The Commons Corewell Health Senior Living-Farmington Hills
- Practice address
- 21400 Archwood Cir
Farmington Hills, MI 48336-4127 - Phone
- (248) 477-7400
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew E Cox
- Title
- Chief Financial Officer
- Phone
- (947) 522-3333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 634470 | MI | |
| Assisted Living Facility | 310400000X | 634470 | MI | Primary |
Addresses
Primary practice location
21400 Archwood Cir
Farmington Hills, MI 48336-4127
Mailing address
26901 Beaumont Blvd.
Compliance
Southfield, MI 48033-4716
Phone (947) 522-1963
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66202A | Other | MI | HEALTH ALLIANCE PLAN |
| SN630004 | Other | MI | MCARE |
| 09690 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1570034 TYPE 60 | Medicaid | MI |
Other names 1
- The Commons Corewell Health Senior Living-Farmington Hills
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct.direct@beaumont.edu |
National Provider Directory
National Provider Directory- Tax ID family
- Beaumont Rehabilitation Continuing Care Farmington Hills
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Beaumont Rehabilitation & Continuing Care, Farmington Hills
- Skilled Nursing Facility
- Farmington Hills, MI
- NPI 1356374185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1417983685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD.",
"address_2": "COMPLIANCE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334716",
"telephone_number": "947-522-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21400 ARCHWOOD CIR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483364127",
"telephone_number": "248-477-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTSFORD CONTINUING HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "947-522-3333"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "634470",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MI",
"license": "634470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "66202A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "SN630004",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09690",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1570034 TYPE 60",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct.direct@beaumont.edu",
"affiliation": "N",
"address_1": "21450 Archwood Cir",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483364127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Commons Corewell Health Senior Living-Farmington Hills",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington Hills, MI
- Elijah Botello
- Sandra Botello
- Nicholas Bothwell
- Botsford Anesthesiologists, PC
- Botsford Continuing Care Corporation (Beaumont Rehabilitation & Continuing Care, Farmington Hills)
- Botsford DME, LLC
- Botsford General Hospital
- Botsford General Hospital
- Botsford General Hospital
- Botsford General Hospital (Beaumont Hospital-Farmington Hills)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.