Bloomfield Orchard Acquisition Company, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLOOMFIELD ORCHARD ACQUISITION COMPANY, INC

Doing business as

Bloomfield Orchard Villa

Practice address

7277 Richardson Rd
West Bloomfield, MI 48323-1266

Phone

(248) 360-4443

Fax

(248) 366-6469

NPI assigned

Jun 30, 2005

Last updated

Apr 7, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CIENA HEALTHCARE MANAGEMENT, INCAs reported in NPPES

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

Authorized official

Name

Mohammad A Qazi

Title

Ceo

Phone

(248) 386-0300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bloomfield Orchard Villa Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1699772087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 RICHARDSON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231266",
            "telephone_number": "248-360-4443",
            "fax_number": "248-366-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 RICHARDSON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231266",
            "telephone_number": "248-360-4443",
            "fax_number": "248-366-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD ORCHARD ACQUISITION COMPANY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-386-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4321364",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "S9545",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Orchard Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer L Boden, DPT

• Skilled Nursing Facility in West Bloomfield, MI
• Providers in West Bloomfield, 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 Apr 7, 2015; 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.