Organization Active NPI

Melvina Care LLC.

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1558712331
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
473104147 Issued in MI
Legal business name
MELVINA CARE LLC.
Practice address
20561 Heyden St
Detroit, MI 48219-1424
Phone
(248) 277-2233
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mrs. Shanika Muldrow
Title
Sol MBR
Phone
(248) 277-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 473104147 MI Primary

Addresses

Primary practice location

20561 Heyden St
Detroit, MI 48219-1424

Mailing address

20561 Heyden St
Detroit, MI 48219-1424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1558712331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20561 HEYDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20561 HEYDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191424",
            "telephone_number": "248-277-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVINA CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MULDROW",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_title_or_position": "SOL MBR",
        "authorized_official_telephone_number": "248-277-2233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "473104147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2016; 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.