Organization Active NPI

West Winds Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Commerce, MI
National Provider Identifier
1871596239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
634410 Issued in MI
Legal business name
WEST WINDS NURSING HOME
Practice address
10765 Bogie Lake Rd
Commerce, MI 48382-2426
Phone
(248) 363-9400
Fax
(248) 363-8028
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. Thomas R Page
Title
Administrator
Phone
(248) 363-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 634410 MI Primary

Addresses

Primary practice location

10765 Bogie Lake Rd
Commerce, MI 48382-2426

Mailing address

10765 Bogie Lake Rd
Commerce, MI 48382-2426
Phone (248) 363-9400

Other identifiers 1

IdentifierTypeStateIssuer
2082248MedicaidMI

National Provider Directory

National Provider Directory

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": "1871596239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10765 BOGIE LAKE RD",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "483822426",
            "telephone_number": "248-363-9400",
            "fax_number": "248-363-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10765 BOGIE LAKE RD",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "483822426",
            "telephone_number": "248-363-9400",
            "fax_number": "248-363-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WINDS NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-363-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "634410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082248",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, MI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.