Berg-Lahser SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BERG-LAHSER SNF, LLC

Doing business as

Illuminate HC Berg-Lahser
SKLD Berg -Lahser

Practice address

21630 Hessel Ave # 1230
Detroit, MI 48219-1230

Phone

(312) 590-1055

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Yair Zuckerman

Title

Ceo

Phone

(312) 590-1055

Specialties & licenses 1

Addresses

Other names 2

• Illuminate HC Berg-Lahser Doing business as
• SKLD Berg -Lahser Doing business as

Locations

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1982235396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014419",
            "telephone_number": "773-620-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 HESSEL AVE # 1230",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191230",
            "telephone_number": "312-590-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG-LAHSER SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-590-1055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC Berg-Lahser",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Berg -Lahser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tessa Benziger, LMSW
• Gerold Bepler, MD
• Lisa F. Berard, FNP
• Andrew Berdasono, CRNA
• Berg Vascular PC
• Jamie Berg, LLPC
• Megan F. Berg, RN-BSN, DNP, CRNA
• Richard A. Berg, M.D.
• Megan Berger Cromwell, LMSW
• Jeff Alan Berger, MPT

• 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 Feb 4, 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.