Niles Mi Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NILES MI OPCO LLC

Practice address

1333 Wells St
Niles, MI 49120-1543

Phone

(269) 684-1111

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Batya Gorelick

Title

VP of Admin Services

Phone

(269) 684-1111

Specialties & licenses 2

Addresses

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.

• Donald Wolfram, M.D.

  • Family Medicine Physician
  • Bridgman, MI
  • NPI 1669499257
  NPD (past)
• Maureen Ziboh, M.D.

  • Family Medicine Physician
  • Edwardsburg, MI
  • NPI 1275560583
  NPD (past)
• Oranu G Ibekie, M.D.

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1134190713
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1659996973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 240",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WELLS ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201543",
            "telephone_number": "269-684-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES MI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMIN SERVICES",
        "authorized_official_telephone_number": "269-684-1111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan E. Thomas, DDS, PLLC (Nathan Thomas Orthodontics)
• Brittany Rachel Nault, FNP
• Nile Family Pharmacy LLC (Nile Family Pharmacy)
• Niles Care Center LLC
• Niles Foot Clinic, PC
• Niles Orthopedics, P.C.
• Niles Professional Services, Inc
• Niles Vision Clinic
• Niles Vision Clinic, P.C. (Niles Vision Clinic)
• Christy Norman

• Skilled Nursing Facility in Niles, MI
• Providers in Niles, 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 Jun 11, 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.