Rhema Redford Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

82-425 Issued in MI

Legal business name

RHEMA REDFORD OPERATING LLC

Doing business as

Advantage Living Center-Redford

Practice address

25330 W 6 Mile Rd
Redford, MI 48240-2105

Phone

(313) 531-6874

NPI assigned

Jun 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsey Hastings

Title

Ceo

Phone

(248) 569-8400

Specialties & licenses 1

Addresses

Other names 1

• Advantage Living Center-Redford Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1508247719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 925",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-569-8400",
            "fax_number": "248-569-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25330 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402105",
            "telephone_number": "313-531-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA REDFORD OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-569-8400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "82-425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Living Center-Redford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanelle Reeves, LLPC
• Release and Restoration Therapeutic Services PLLC
• Rels Healthcare
• Virginia Remedio, NP
• Retin Care-2 Inc
• Rachel J. Rhodes, LMSW
• Contrella Riley
• Nathifa Grace Mkate Riley, LMSW
• Courtney Ritchie, RN
• Cornelius Roberson I, LBSW

• Skilled Nursing Facility in Redford, MI
• Providers in Redford, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.