Active NPI
County of Oakland
- Skilled Nursing Facility
- Pontiac, MI
National Provider Identifier
1427099472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 638510
- Legal business name
- COUNTY OF OAKLAND
- Practice address
- 1200 N Telegraph Rd
BLDG. 34 East
Pontiac, MI 48341-0432 - Phone
- (248) 858-1415
- Fax
- (248) 858-4026
- NPI assigned
- Jun 9, 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
- Mr. George J. Miller
- Title
- Director
- Phone
- (248) 858-1293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 638510 | MI | Primary |
Addresses
Primary practice location
1200 N Telegraph Rd
BLDG. 34 East
Pontiac, MI 48341-0432
Mailing address
1200 N Telegraph Rd
BLDG. 34 East
Pontiac, MI 48341-0432
Phone (248) 858-1415
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61 2085240 | Medicaid | MI | |
| 09803 | Other | MI | BCBS PROVIDER ID |
| 2085240 | Medicaid | MI |
Other names 1
- Golden Oaks Medical Care Facility
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
27725 Greenfield Rd
Southfield, MI 48076
Phone (248) 424-7000
1010 W West Maple Rd
Walled Lake, MI 48390
Phone (248) 926-3300
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1902683196
-
- Family Nurse Practitioner
- Southfield, MI
- NPI 1063056430
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1063299345
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1922848324
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1851178024
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1598542862
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1174371314
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1801645148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1427099472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N TELEGRAPH RD",
"address_2": "BLDG. 34 EAST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483410432",
"telephone_number": "248-858-1415",
"fax_number": "248-858-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N TELEGRAPH RD",
"address_2": "BLDG. 34 EAST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483410432",
"telephone_number": "248-858-1415",
"fax_number": "248-858-4026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF OAKLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-858-1293",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "638510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61 2085240",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "09803",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085240",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Oaks Medical Care Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.