Rosebush Interfaith Retirement Community

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ROSEBUSH INTERFAITH RETIREMENT COMMUNITY

Practice address

4210 E Rosebush Rd
Rosebush, MI 48878-8751

Phone

(989) 433-0150

NPI assigned

Sep 11, 2024

Organization subpart

Yes

Parent organization

THE VILLAGE OF REDFORDAs reported in NPPES

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

Authorized official

Name

Avni Thomas

Title

Director of Philanthropy Operations

Phone

(248) 281-2044

Specialties & licenses 1

Addresses

Other names 2

• Presbyterian Villages of Michigan Doing business as
• The Village of Rosebush Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Presbytern VLG of Detro

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Village of Redford

  • Skilled Nursing Facility
  • Redford, MI
  • NPI 1093067613
  NPPES parent name

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1962238360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337496",
            "telephone_number": "248-281-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 E ROSEBUSH RD",
            "city": "ROSEBUSH",
            "state": "MI",
            "postal_code": "488788751",
            "telephone_number": "989-433-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUSH INTERFAITH RETIREMENT COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VILLAGE OF REDFORD",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AVNI",
        "authorized_official_title_or_position": "DIRECTOR OF PHILANTHROPY OPERATIONS",
        "authorized_official_telephone_number": "248-281-2044"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Villages of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village of Rosebush Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alysia Ann Hoyt
• Kaydee Komperda
• Madison Larson
• Victoria Lecureux
• Jenna Reinke
• Victoria Sandner
• Jordyn Schafer
• Leslie Sharp
• Dawn Smith
• Ella Tefft

• All providers in Rosebush, MI
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.

Verify at the official NPI Registry.