Organization Active NPI

Westland Convalescent & Rehab Center

  • Skilled Nursing Facility
  • Westland, MI
National Provider Identifier
1679571806
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
824380 Issued in MI
Legal business name
WESTLAND CONVALESCENT & REHAB CENTER
Practice address
36137 Warren Rd
Westland, MI 48185-2027
Phone
(734) 728-6100
Fax
(734) 728-9741
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Ms. Judith G Caroselli, RN
Title
Director of Operations
Phone
(734) 728-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 824380 MI Primary

Addresses

Primary practice location

36137 Warren Rd
Westland, MI 48185-2027

Mailing address

36137 Warren Rd
Westland, MI 48185-2027
Phone (734) 728-6100

Other identifiers 2

IdentifierTypeStateIssuer
2083147MedicaidMI
09756OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1679571806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36137 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852027",
            "telephone_number": "734-728-6100",
            "fax_number": "734-728-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36137 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852027",
            "telephone_number": "734-728-6100",
            "fax_number": "734-728-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAND CONVALESCENT & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "CAROSELLI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "734-728-6100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "824380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083147",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "09756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.