Moroun Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

834650 Issued in MI

Legal business name

MOROUN NURSING HOME

Practice address

8045 E Jefferson Ave
Detroit, MI 48214-2627

Phone

(313) 821-3525

Fax

(313) 821-3544

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David M. Henry

Title

Controller

Phone

(313) 821-3525

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1801892229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142627",
            "telephone_number": "313-821-3525",
            "fax_number": "313-821-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142627",
            "telephone_number": "313-821-3525",
            "fax_number": "313-821-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROUN NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "313-821-3525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "834650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09558",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Morkos
• Cumeta Rochelle Morman
• James Morman
• Jade Nicole Moros, LLMSW
• Moroun Nursing Center of Detroit, LLC
• Alina Moroz, MD
• Claudia R. Morreale, OTR
• John V Morreale, M.D.
• Mary Koshey Morreale, MD
• April K Morris, NURSE PRACTITIONER

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, 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 Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.