Active NPI
Northwest Partners, LLC
Doing business as Beaconshire Nursing Centre
- Skilled Nursing Facility
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 83-4670
- Legal business name
- NORTHWEST PARTNERS, LLC
- Doing business as
- Beaconshire Nursing Centre
- Practice address
- 21630 Hessel Ave
Detroit, MI 48219-1230 - Phone
- (313) 534-8400
- Fax
- (313) 534-9839
- NPI assigned
- May 31, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Abramson
- Title
- Managing Member
- Phone
- (248) 539-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 83-4670 | MI | Primary |
Addresses
Primary practice location
21630 Hessel Ave
Detroit, MI 48219-1230
Mailing address
21630 Hessel Ave
Detroit, MI 48219-1230
Phone (313) 534-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S9561 | Other | MI | BLUE CROSS BLUE SHIELD MI |
Other names 1
- Beaconshire Nursing Centre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000066 | MI | Part A Provider - Skilled Nursing Facility | 0042123937 | Practice locations: Detroit, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720081094. Details of each certification follow.
Skilled nursing facility certification: CCN 235475
- Legal name
- NORTHWEST PARTNERS, LLC
- Doing business as
- BEACONSHIRE NURSING CENTRE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 10, 1988
- Last certification
- Jan 29, 2025
- Beds
- 99
- Ownership / control type
- Individual
- Most recent change of ownership
- Aug 1, 2003
- Organization structure
- LLC
- Incorporated
- Aug 1, 2003 in MI
- Enrollment address
- 21630 Hessel Ave
Detroit, MI 48219-1230 - Nursing home name
- BEACONSHIRE NURSING CENTRE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Beaconshire Nursing Centre
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Aug 10, 1988
- Medicare certification status
- Active
- Certified beds
- 99
- Penalties (3 years)
- 5
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0890319 | Beaconshire Nursing Center | Certificate of waiver | Aug 15, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Amee Patel | 5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 100% |
| Trina L Lafferty | W-2 Managing Employee | Jun 1, 2016 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1457507006
-
- Gastroenterology Physician
- West Bloomfield, MI
- NPI 1689707333
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1639453228
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1639453228
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720081094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21630 HESSEL AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191230",
"telephone_number": "313-534-8400",
"fax_number": "313-534-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21630 HESSEL AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191230",
"telephone_number": "313-534-8400",
"fax_number": "313-534-9839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABRAMSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "248-539-8200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "83-4670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "S9561",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beaconshire Nursing Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.