Medilodge Of Southfield, Inc.

LBN: Medilodge Of Southfield, Inc.
Medilodge Of Southfield, Inc. is an health care organization with primary practice located at 26715 Greenfield Rd , Southfield MI 48076-4717. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Medilodge Of Southfield, Inc. can be contacted via phone (248) 557-0050, or through Denean, Kathleen via phone (586) 752-5008.

Contact Information

Primary practice address
26715 Greenfield Rd Southfield MI 48076-4717
Phone: (248) 557-0050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Denean, Kathleen
Phone: (586) 752-5008

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 634480 Michigan

Profile Details

NPI number 1457311052
LBN Legal business name Medilodge Of Southfield, Inc.
DBA Doing business as
Authorized official Denean, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457311052 NPPES
Michigan MEDICAID 3076568
Michigan Other 09707

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