Organization Active NPI

Law-Den Nursing Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Detroit, MI
National Provider Identifier
1568429835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
15840 Issued in MI
Legal business name
LAW-DEN NURSING HOME, INC.
Practice address
1640 Webb St
Detroit, MI 48206-1350
Phone
(313) 867-1719
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Todd Johnson
Title
Administrator
Phone
(313) 867-1719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 15840 MI Primary

Addresses

Primary practice location

1640 Webb St
Detroit, MI 48206-1350

Mailing address

1640 Webb St
Detroit, MI 48206-1350
Phone (313) 867-1719

Other identifiers 1

IdentifierTypeStateIssuer
2152001MedicaidMI

National Provider Directory

National Provider Directory

Locations

1640 Webb St
Detroit, MI 48206
Phone (313) 618-1041

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568429835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 WEBB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061350",
            "telephone_number": "313-867-1719",
            "fax_number": "313-867-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 WEBB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061350",
            "telephone_number": "313-867-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAW-DEN NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-867-1719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "15840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152001",
            "state": "MI"
        }
    ],
    "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 Aug 22, 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.