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REGENCY AT ST. CLAIR SHORES , NPI 1669479895

Skilled Nursing Facility in ST CLAIR SHORES, MI

Last Updated on : Aug 15,2019

REGENCY AT ST. CLAIR SHORES , NPI 1669479895

About REGENCY AT ST. CLAIR SHORES (NPI 1669479895)


REGENCY AT ST. CLAIR SHORES (ST. MARY'S ACQUISITION COMPANY INC) is a Skilled Nursing Facility in ST CLAIR SHORES, United States .

1669479895 is NPI number of REGENCY AT ST. CLAIR SHORES.

REGENCY AT ST. CLAIR SHORES's primary taxonomy code based on NPI Lookup is 314000000X with license number . This taxonomy code refers to Skilled Nursing Facility.

REGENCY AT ST. CLAIR SHORES current practice location address is 22700 GREATER MACK AVENUE, ST CLAIR SHORES, MI. REGENCY AT ST. CLAIR SHORES can be reached out via phone at 586-443-4910 .

You can also correspond with REGENCY AT ST. CLAIR SHORES through mail at mailing address 4000 TOWN CTR STE 2000, SOUTHFIELD, MI, United States. Mailing address contact number is 248-262-2357.

The enumeration date of REGENCY AT ST. CLAIR SHORES is 01-Jul-2005. The provider is registered as an Organization and the NPI record was last updated 3 years ago.

The authorized official of REGENCY AT ST. CLAIR SHORES is Mohammad Qazi (CEO). Mohammad Qazi can be reached at 2483860300.

1669479895 NPI Information

Basic NPI information of REGENCY AT ST. CLAIR SHORES (NPI 1669479895) is provided below.

Name REGENCY AT ST. CLAIR SHORES
National Provider Id (NPI) 1669479895
Entity Type Organization
Practice Address 22700 GREATER MACK AVENUE,
ST CLAIR SHORES, MI, United States
Practice Telephone 586-443-4910
Practice Fax Number
Mailing Address 4000 TOWN CTR STE 2000 ,
SOUTHFIELD, MI, United States
Mailing Telephone 248-262-2357
Mailing Fax Number 586-772-6608
Enumeration Date 01-Jul-2005
Last Updated Date 15-Aug-2019

REGENCY AT ST. CLAIR SHORES (NPI 1669479895) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
235319 MEDICARE OSCAR/Certification (06)
4321453 MEDICAID (05) MI
S9553 Other (non-Medicare) (01) MI BCBSM PIN

REGENCY AT ST. CLAIR SHORES (NPI 1669479895) Office Location

Office location of REGENCY AT ST. CLAIR SHORES is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1841278405 DAVID JOSEPH DOBBINS Dentist, General Practice 23915 JEFFERSON AVE,
ST CLAIR SHORES, MI, United States
04-Jan-2006
1003894577 WILLIAM L. KRIEG Dentist, Orthodontics and Dentofacial Orthopedics 22006 GREATER MACK AVE,
ST CLAIR SHORES, MI, United States
05-Jan-2006
1154473023 THERESE L WOLF Social Worker, Clinical PO BOX 806031,
ST CLAIR SHORES, MI, United States
18-Jan-2007
1477533248 JOHN ROBERT LEVERENZ Dentist, General Practice 24619 HARPER AVE,
ST CLAIR SHORES, MI, United States
18-Jan-2006
1114997764 ROBERTO MARASIGAN BARRETTO Legal Medicine 24400 GREATER MACK AVE,
ST CLAIR SHORES, MI, United States
25-Jan-2006
1801866124 JENNIFER L KOZAK Nurse Practitioner, Family 28963 LITTLE MACK, STE 101
ST CLAIR SHORES, MI, United States
26-Jan-2006
1194796334 WILLIAM H. SALOT Orthopaedic Surgery 24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI, United States
27-Jan-2006
1851362818 EDWARD S. JEFFRIES Orthopaedic Surgery 24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI, United States
30-Jan-2006
1023089083 MICHAEL R. DEMERS Orthopaedic Surgery 24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI, United States
30-Jan-2006
1174594337 STEVEN J. CUSICK Orthopaedic Surgery 24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI, United States
27-Jan-2006
1780655969 BENEDICT P. PELLERITO Orthopaedic Surgery 24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI, United States
27-Jan-2006
1588635767 JAMES D. BOOKOUT Orthopaedic Surgery 24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI, United States
27-Jan-2006
1184763641 HENRY O GESELL Dentist 23219 MARTER RD, SUITE 207
ST CLAIR SHORES, MI, United States
05-Feb-2007
1255304085 BARBARA HENIKE Psychiatry & Neurology, Psychiatry 24001 GREATER MACK AVE, SUITE C
ST CLAIR SHORES, MI, United States
10-Feb-2006
1336280320 JILL ANN KAYNER Optometrist 29519 HARPER AVENUE,
ST CLAIR SHORES, MI, United States
11-Feb-2007
1528032786 DIMITRIOS PANAGOPOULOS Podiatrist, Foot & Ankle Surgery 24025 GREATER MACK AVE, SUITE 101
ST CLAIR SHORES, MI, United States
15-Feb-2006
1972577609 KERRIE WALKER Specialist/Technologist, Athletic Trainer 20908 LITTLESTONE RD,
HARPER WOODS, MI, United States
17-Feb-2006
1740781756 BROOK DANIELLE RYCHLIK Psychologist, School 22727 DETOUR ST,
ST CLAIR SHORES, MI, United States
24-Feb-2018
1225004468 STEPHEN IRA FIELD Dermatology 28333 HARPER AVE,
ST CLAIR SHORES, MI, United States
27-Feb-2006
1891761821 ANTHONY PANICCIA Family Medicine 43800 GARFIELD RD, SUITE 201
CLINTON TWP, MI, United States
28-Feb-2006

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1669479895?

1669479895 is the NPI number of REGENCY AT ST. CLAIR SHORES.

Where is REGENCY AT ST. CLAIR SHORES located?

REGENCY AT ST. CLAIR SHORES is located at 22700 GREATER MACK AVENUE, ST CLAIR SHORES, MI.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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