Evangelical Homes of Michigan

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

504015 Issued in MI

Legal business name

EVANGELICAL HOMES OF MICHIGAN

Doing business as

Evangelical Home - Sterling Heights

Practice address

14900 Shoreline Dr
Sterling Heights, MI 48313-2251

Phone

(586) 247-4700

Fax

(586) 247-1499

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence G Petroskey

Title

Cfo

Phone

(313) 836-3499

Specialties & licenses 1

Addresses

Other names 1

• Evangelical Home - Sterling Heights Doing business as

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639157993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SHORELINE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132251",
            "telephone_number": "586-247-4700",
            "fax_number": "586-247-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 SHORELINE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132251",
            "telephone_number": "586-247-4700",
            "fax_number": "586-247-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL HOMES OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROSKEY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "313-836-3499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "504015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evangelical Home - Sterling Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Estifou
• Joseph Galutan Estrada, D.C.
• Kendra Ettema, CTRS, MDIV
• Annes Yukyung Eum, DO
• Euro Rehab Heritage Physical Therapy Inc
• Kathleen Mary Evans, RN, APRN-BC
• Sandra Ann Evans, NP
• Shelby R Evans, LMSW
• Carrie Nicole Evatz, ANP, BC
• Joseph Donald Evens, OTRL

• Nursing Facility/Intermediate Care Facility in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Nursing Facility/Intermediate Care Facility in Michigan

• 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.