Organization Active NPI

Church of Christ Home for the Aged

  • Skilled Nursing Facility
  • Clinton Township, MI
National Provider Identifier
1932118718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
50-422 Issued in MI
Legal business name
CHURCH OF CHRIST HOME FOR THE AGED
Practice address
23575 15 Mile Rd
Clinton Township, MI 48035-3108
Phone
(586) 791-2470
Fax
(586) 791-2475
NPI assigned
Aug 7, 2006
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. Gerald L Berger
Title
Director of Finance
Phone
(586) 791-2470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 50-422 MI Primary

Addresses

Primary practice location

23575 15 Mile Rd
Clinton Township, MI 48035-3108

Mailing address

23575 15 Mile Rd
Clinton Township, MI 48035-3108
Phone (586) 791-2470

Other identifiers 1

IdentifierTypeStateIssuer
2153528MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000130 MI Part A Provider - Skilled Nursing Facility 0547284945 Practice locations: Clinton Township, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932118718. Details of each certification follow.

Skilled nursing facility certification: CCN 235619

Legal name
CHURCH OF CHRIST HOME FOR THE AGED
Doing business as
CHURCH OF CHRIST CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 24, 2006
Last certification
Aug 1, 2024
Beds
129
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Enrollment address
23575 15 Mile Rd
Clinton Township, MI 48035-3108
Nursing home name
CHURCH OF CHRIST CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Church of Christ Care CenterCCN 235619 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Feb 24, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129112.7 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $40,940

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
23D0363691Church of Christ Care Center23575 15 Mile Road, Clinton Township, MI 48035Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

23575 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-7116

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lenora Hardyfoster Individual Corporate Director Feb 13, 2020
Trustee of the SNF Feb 13, 2020
Organization, Livonia, MI Corporation Adp of the SNF Feb 12, 2025
Janet Olafsson Individual Operational/Managerial Control Sep 19, 2022
Adp of the SNF Oct 22, 2019
Michael Messier Individual Trustee of the SNF Feb 14, 2006
Organization, Livonia, MI LLC, Medical provider/supplier Adp of the SNF Feb 12, 2025
Organization, Powell, OH LLC Adp of the SNF Feb 12, 2025
Organization, Roseville, MI LLC, Medical provider/supplier Adp of the SNF Feb 12, 2025
Debra Arnett Individual Trustee of the SNF Mar 27, 2018
Organization, Grosse Pointe Park, MI Investment firm, Financial institution Adp of the SNF Feb 12, 2025
Patti Jenema Individual Operational/Managerial Control Oct 1, 2021
Adp of the SNF Oct 1, 2021
Organization, Minneapolis, MN LLC Adp of the SNF Feb 12, 2025
Basem Almasri Individual Operational/Managerial Control Aug 7, 2009
Adp of the SNF Aug 7, 2009
Organization, Livonia, MI Corporation Adp of the SNF Feb 12, 2025
John Swantek Individual Trustee of the SNF Feb 14, 2006
Organization, Southfield, MI LLC Adp of the SNF Feb 12, 2025
Mark David Wilson Individual Trustee of the SNF Feb 14, 2006
Jenel Stoinski Individual Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 3, 2025
Organization, Dallas, TX Corporation, Financial institution Adp of the SNF Feb 12, 2025
David Kelly Stewart Individual Corporate DirectorCeo Oct 22, 2019 100%
Adp of the SNF Oct 22, 2019
Organization, Pontiac, MI LLC Adp of the SNF Feb 12, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932118718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23575 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353108",
            "telephone_number": "586-791-2470",
            "fax_number": "586-791-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23575 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353108",
            "telephone_number": "586-791-2470",
            "fax_number": "586-791-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH OF CHRIST HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "586-791-2470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "50-422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2153528",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.