Organization Active NPI

Northwest Partners, LLC

Doing business as Beaconshire Nursing Centre

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1720081094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
83-4670 Issued in MI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
S9561OtherMIBLUE CROSS BLUE SHIELD MI

Other names 1

  • Beaconshire Nursing Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CentreCCN 235475 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 10, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.2 residents per day on average
Penalties (3 years)
5Fines totaling $17,644

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0890319Beaconshire Nursing Center21630 Hessel Avenue, Detroit, MI 48219Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Amee Patel Individual 5% Or Greater Direct Ownership Interest Jan 1, 2011 100%
Trina L Lafferty Individual W-2 Managing EmployeeDirector of Finance 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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.