Organization 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
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
634470 Issued in MI
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

Updated by the provider on May 23, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66202AOtherMIHEALTH ALLIANCE PLAN
SN630004OtherMIMCARE
09690OtherMIBLUE CROSS BLUE SHIELD
1570034 TYPE 60MedicaidMI

Other names 1

  • The Commons Corewell Health Senior Living-Farmington Hills Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.direct@beaumont.edu

National Provider Directory

National Provider Directory
Tax ID family
Beaumont Rehabilitation Continuing Care Farmington Hills2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.