Mission Point of Clinton Township LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MISSION POINT OF CLINTON TOWNSHIP LLC

Doing business as

Mission Point Nursing & Physical Rehabilitation Center of Clinton Twp
Misson Point Nursing & Physical Rehabilitation Center of Clinton Towns

Practice address

17001 17 Mile Rd
Clinton Township, MI 48038-2801

Phone

(586) 286-7100

NPI assigned

Jan 11, 2021

Organization subpart

No

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

Authorized official

Name

Hari S (Roger) Mali

Title

Managing Member

Phone

(248) 940-5390

Specialties & licenses 1

Addresses

Other names 2

• Mission Point Nursing & Physical Rehabilitation Center of Clinton Twp Doing business as
• Misson Point Nursing & Physical Rehabilitation Center of Clinton Towns Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Frank Harris Jr., M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lathrup Village, MI
  • NPI 1477763878
  NPD (past)
• Ferris Mawri, MD

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1386225746
  NPD (past)
• Mohammad Saleh, M.D.

  • Internal Medicine Physician
  • Walled Lake, MI
  • NPI 1619394004
  NPD (past)

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1619566098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1510",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255802",
            "telephone_number": "248-940-5390",
            "fax_number": "248-792-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 17 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382801",
            "telephone_number": "586-286-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION POINT OF CLINTON TOWNSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "MALI",
        "authorized_official_first_name": "HARI",
        "authorized_official_middle_name": "S (ROGER)",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-940-5390"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Point Nursing & Physical Rehabilitation Center of Clinton Twp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Misson Point Nursing & Physical Rehabilitation Center of Clinton Towns",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Mishack, MD
• Tyana Misiuda, NP
• Tabitha Nicole Miskokomon, LLPC
• Mission Podiatry PLLC
• Mission Podiatry PLLC
• Mariah Mitchell
• Lauren Elizabeth Mittig, M.D.
• Kristen Mix, DNP, AGACNP
• Miranda Mizla, LLMSW
• Sophia A Mizla

• Skilled Nursing Facility in Clinton Township, MI
• Providers in Clinton Township, 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 Apr 6, 2021; 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.