Organization Active NPI

Harmony Village SNF, LLC

Doing business as Illuminate HC Harmony Village

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1508497918
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARMONY VILLAGE SNF, LLC
Doing business as
Illuminate HC Harmony Village
SKLD Harmony Village
Practice address
16588 Schaefer Hwy # 4249
Detroit, MI 48235-4249
Phone
(312) 590-1055
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Yair Zuckerman
Title
Ceo
Phone
(312) 590-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

16588 Schaefer Hwy # 4249
Detroit, MI 48235-4249

Mailing address

620 Davis St Ste 200
Evanston, IL 60201-4419
Phone (312) 590-1055

Other names 2

  • Illuminate HC Harmony Village Doing business as
  • SKLD Harmony Village Doing business as

National Provider Directory

National Provider Directory

Locations

16588 Schaefer Hwy
#4249
Detroit, MI 48235
Phone (312) 590-1055

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1508497918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014419",
            "telephone_number": "312-590-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16588 SCHAEFER HWY # 4249",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354249",
            "telephone_number": "312-590-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY VILLAGE SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-590-1055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC Harmony Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Harmony Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.