Colonial Health Care Center,LLC Dba St. Josephs'S Health Care Center

Organization Active NPI Skilled Nursing Facility · Hamtramck, MI

NPI 1497733307 · NPPES record last updated Nov 4, 2025

Key facts

NPI
1497733307
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
824340 (MI)
Legal business name
COLONIAL HEALTH CARE CENTER,LLC DBA ST. JOSEPHS'S HEALTH CARE CENTER
Practice address
9400 Conant St
Hamtramck, MI 48212-3538
Phone
(313) 664-1031
NPI assigned
Jan 3, 2006
Organization subpart
No

Authorized official

Name
Marcella Graf
Title
Cfo
Phone
(224) 470-2044

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Colonial Health Care Center LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 824340 MI Yes

Addresses

Primary practice location

9400 Conant St
Hamtramck, MI 48212-3538

Mailing address

9400 Conant St
Hamtramck, MI 48212-3538
Phone (313) 664-1031

Other identifiers

IdentifierTypeStateIssuer
4614268MedicaidMI
09680OtherMIBC/BS ID

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Other providers in Hamtramck, MI

All providers in Hamtramck, MI · Skilled Nursing Facility in Michigan

Sources for this page

Verify at the official NPI Registry.