NPIMap

Organization Active NPI

Lutheran Homes of Michigan, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • Livonia, MI
National Provider Identifier
1518961192
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
LUTHERAN HOMES OF MICHIGAN, INC.
Practice address
28910 Plymouth Rd
Special Care Unit
Livonia, MI 48150-2337
Phone
(734) 425-4814
Fax
(734) 425-6024
NPI assigned
Jun 10, 2005
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN HOMES OF MICHIGAN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Michael G Corby
Title
Controller
Phone
(989) 652-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X MI Primary

Addresses

Primary practice location

28910 Plymouth Rd
Special Care Unit
Livonia, MI 48150-2337

Mailing address

9710 Junction Rd
P.O. Box 329
Frankenmuth, MI 48734-0329
Phone (989) 652-3470

Other identifiers 1

IdentifierTypeStateIssuer
S 9505OtherMIBCBS INS. PROVIDER #

Other names 1

  • Lutheran Home-Livonia-Special Care Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Homes of Mi Inc6 organizations share this tax ID, including this one
Part of
Lutheran Homes of Mi Inc

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1518961192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 JUNCTION RD",
            "address_2": "P.O. BOX 329",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487340329",
            "telephone_number": "989-652-3470",
            "fax_number": "989-652-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28910 PLYMOUTH RD",
            "address_2": "SPECIAL CARE UNIT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502337",
            "telephone_number": "734-425-4814",
            "fax_number": "734-425-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOMES OF MICHIGAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN HOMES OF MICHIGAN, INC.",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "CORBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "989-652-3470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INS. PROVIDER #",
            "identifier": "S 9505",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Home-Livonia-Special Care Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.