Organization Active NPI

St Elizabeth Briarbank Home for the Aged

  • Assisted Living Facility
  • Bloomfield Hills, MI
National Provider Identifier
1700424710
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ST ELIZABETH BRIARBANK HOME FOR THE AGED
Practice address
39315 Woodward Ave
Bloomfield Hills, MI 48304-5024
Phone
(248) 644-1011
Fax
(248) 644-1596
NPI assigned
Dec 20, 2019
Organization subpart
Yes
Parent organization
DAUGHTERS OF DIVINE CHARITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Katarina Zefic
Title
Administrator
Phone
(248) 644-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

39315 Woodward Ave
Bloomfield Hills, MI 48304-5024

Mailing address

39315 Woodward Ave
Bloomfield Hills, MI 48304-5024
Phone (248) 644-1011

National Provider Directory

National Provider Directory

Locations

39315 Woodward Ave
Bloomfield Hills, MI 48304
Phone (248) 644-1011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1700424710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39315 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045024",
            "telephone_number": "248-644-1011",
            "fax_number": "248-644-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39315 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045024",
            "telephone_number": "248-644-1011",
            "fax_number": "248-644-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH BRIARBANK HOME FOR THE AGED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAUGHTERS OF DIVINE CHARITY",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "ZEFIC",
        "authorized_official_first_name": "KATARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-644-1011"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.