Lakeshore Healthcare Cranbrook Campus Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKESHORE HEALTHCARE CRANBROOK CAMPUS INC

Practice address

5000 E 7 Mile Rd
Detroit, MI 48234-2261

Phone

(313) 366-2900

Fax

(313) 366-5357

NPI assigned

Jul 19, 2013

Organization subpart

No

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

Authorized official

Name

Deepak Bhalla, PMP

Title

V P Operations

Phone

(313) 483-3905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1982046983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342261",
            "telephone_number": "313-366-2900",
            "fax_number": "313-366-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342261",
            "telephone_number": "313-366-2900",
            "fax_number": "313-366-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HEALTHCARE CRANBROOK CAMPUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "BHALLA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "V P OPERATIONS",
        "authorized_official_telephone_number": "313-483-3905",
        "authorized_official_credential": "PMP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeshore Medical Transport and Supply
• Lakeside Global Transport, Inc
• Lakewood Dental Group III
• Terrence Lakey

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, 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 Jul 19, 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.