NPIMap

Organization Active NPI

Mission Point of Elmwood LLC

Doing business as Intersect Healthcare of Elmwood

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1629676085
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MISSION POINT OF ELMWOOD LLC
Doing business as
Intersect Healthcare of Elmwood
Practice address
1881 E Grand Blvd
Detroit, MI 48211-3041
Phone
(313) 922-1600
NPI assigned
Oct 16, 2020
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Mrs. Kristine Ranel Kirk
Title
Regulatory Analyst
Phone
(417) 846-3521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1881 E Grand Blvd
Detroit, MI 48211-3041

Mailing address

1881 E Grand Blvd
Detroit, MI 48211-3041
Phone (313) 922-1600

Other names 1

  • Intersect Healthcare of Elmwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230000694 MI Part A Provider - Skilled Nursing Facility 7315350824 Practice locations: Detroit, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629676085. Details of each certification follow.

Skilled nursing facility certification: CCN 235454

Legal name
MISSION POINT OF ELMWOOD LLC
Doing business as
MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF ELMWOOD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 13, 1986
Last certification
Aug 8, 2024
Beds
120
Ownership / control type
Individual
Multi-facility organization
Interseet
Organization structure
LLCProprietary
Incorporated
Oct 25, 2019 in MI
Enrollment address
1881 E Grand Blvd
Detroit, MI 48211-3041
Nursing home name
MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF ELMWOOD
Affiliated entity
MISSION POINT HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mission Point Nursing & Physical Rehabilitation CeCCN 235454 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 13, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120109.4 residents per day on average
Chain
Mission Point Healthcare Services14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0961984Mission Point of Elmwood LLC1881 E Grand Boulevard, Detroit, MI 48211Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Locations

30700 Telegraph Rd
Ste 1510
Bingham Farms, MI 48025

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Valerie Craig Individual W-2 Managing EmployeeAdministrator Dec 17, 2020
Hari R Mali Individual 5% Or Greater Indirect Ownership Interest Dec 17, 2020 100%
Corporate OfficerManaging Member and President Dec 17, 2020
Andrea Yelder Individual W-2 Managing EmployeeDirector of Nursing Dec 17, 2020
Mission Point Bays Holding LLC Organization, Troy, MI LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 17, 2020 100%
Mission Point Management Services LLC Organization, Bingham Farms, MI LLC, Management services company, For-profit Operational/Managerial Control Dec 17, 2020
Grand Mi Property Holdings LLC Organization, Skokie, IL LLC, For-profit Other Dec 17, 2020

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1629676085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113041",
            "telephone_number": "313-922-1600",
            "fax_number": "313-921-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113041",
            "telephone_number": "313-922-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION POINT OF ELMWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "RANEL",
        "authorized_official_title_or_position": "REGULATORY ANALYST",
        "authorized_official_telephone_number": "417-846-3521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intersect Healthcare of Elmwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.