Active NPI
Colonial Health Care Center,LLC Dba St. Josephs's Health Care Center
- Skilled Nursing Facility
- Hamtramck, MI
National Provider Identifier
1497733307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 824340
- 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
- Last updated
- Nov 4, 2025
- 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
- Marcella Graf
- Title
- Cfo
- Phone
- (224) 470-2044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 824340 | MI | Primary |
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4614268 | Medicaid | MI | |
| 09680 | Other | MI | BC/BS ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
National Provider Directory
National Provider Directory- Tax ID family
- Colonial Health Care Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba St. Joseph's a Villa Center
- Skilled Nursing Facility
- Hamtramck, MI
- NPI 1649261827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1497733307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123538",
"telephone_number": "313-664-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123538",
"telephone_number": "313-664-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONIAL HEALTH CARE CENTER,LLC DBA ST. JOSEPHS'S HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-03",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "GRAF",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "224-470-2044"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "824340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4614268",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ID",
"identifier": "09680",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.