Geneva Management

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

634012 Issued in MI

Legal business name

GENEVA MANAGEMENT

Doing business as

Boulevard Hills

Practice address

3500 South Blvd W
Rochester Hills, MI 48309-3973

Phone

(248) 852-7800

Fax

(248) 852-6348

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alan Winer, NHA

Title

Executive Director/Aministrator

Phone

(248) 852-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boulevard Hills Doing business as

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1689672107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SOUTH BLVD W",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093973",
            "telephone_number": "248-852-7800",
            "fax_number": "248-852-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SOUTH BLVD W",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093973",
            "telephone_number": "248-852-7800",
            "fax_number": "248-852-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "WINER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/AMINISTRATOR",
        "authorized_official_telephone_number": "248-852-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "634012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4506126",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Rochester Hills, MI
• Providers in Rochester Hills, 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 Feb 8, 2008; 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.