Active NPI
St Elizabeth Briarbank Home for the Aged
- Assisted Living Facility
- Bloomfield Hills, MI
National Provider Identifier
1700424710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 CHARITY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Podiatrist
- Commerce TWP, MI
- NPI 1740356914
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.