Active NPI
Health Care and Retirement Corporation of America LLC
- Skilled Nursing Facility
- West Bloomfield, MI
National Provider Identifier
1851330732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 634011
- Legal business name
- HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC
- Practice address
- 6800 W Maple Rd
West Bloomfield, MI 48322-2792 - Phone
- (248) 788-5300
- Fax
- (248) 788-7141
- NPI assigned
- Jun 6, 2006
- 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. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 634011 | MI | Primary |
Addresses
Primary practice location
6800 W Maple Rd
West Bloomfield, MI 48322-2792
Mailing address
333 N Summit St
Toledo, OH 43604-2615
Phone (419) 252-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605303647 | Medicaid | MI |
Other names 1
- ProMedica Marvin and Betty Danto Family Health Care Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
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 |
|---|---|---|---|
| 23D0925121 | Health Care and Retirement | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1851330732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042615",
"telephone_number": "419-252-5500",
"fax_number": "877-385-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 W MAPLE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222792",
"telephone_number": "248-788-5300",
"fax_number": "248-788-7141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "634011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "605303647",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N St 6th #900a",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "55403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ProMedica Marvin and Betty Danto Family Health Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ProMedica Marvin and Betty Danto Family Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.