Organization Active NPI

Livonia SNF Operating, LLC

  • Skilled Nursing Facility
  • Livonia, MI
National Provider Identifier
1811538903
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIVONIA SNF OPERATING, LLC
Doing business as
MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF LIVONIA
Practice address
34350 Ann Arbor TRL
Livonia, MI 48150-3606
Phone
(734) 261-4800
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
H Roger Mali II
Title
Member
Phone
(248) 577-2632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

34350 Ann Arbor TRL
Livonia, MI 48150-3606

Mailing address

721 Elmwood Dr
Troy, MI 48083-2867
Phone (248) 577-2632

Other names 1

  • MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF LIVONIA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1811538903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 ELMWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832867",
            "telephone_number": "248-577-2632",
            "fax_number": "248-577-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34350 ANN ARBOR TRL",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503606",
            "telephone_number": "734-261-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA SNF OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MALI",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-577-2632",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF LIVONIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.