Heartland-Dorvin of Livonia Mi LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

824110 Issued in MI

Legal business name

HEARTLAND-DORVIN OF LIVONIA MI LLC

Doing business as

Heartland Health Care Center-Livonia NE

Practice address

29270 Morlock St
Livonia, MI 48152-2044

Phone

(248) 476-0555

Fax

(248) 477-5391

NPI assigned

Jun 6, 2006

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Health Care Center-Livonia NE Doing business as

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1942249818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-252-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29270 MORLOCK ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522044",
            "telephone_number": "248-476-0555",
            "fax_number": "248-477-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND-DORVIN OF LIVONIA MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "824110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605290914",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Care Center-Livonia NE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Livonia, MI
• Providers in Livonia, 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 Jan 7, 2013; 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.