Medilodge Of Bloomfield in Bloomfield Hills - Skilled Nursing Facility

Medilodge Of Bloomfield - NPI 1073573655

Medilodge Of Bloomfield is a Skilled Nursing Facility in Bloomfield Hills, Michigan. Medilodge Of Bloomfield practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Medilodge Of Bloomfield is 1073573655. The last update date is 2020-08-22.

Medilodge Of Bloomfield's current location address is 50 W Square Lake Rd, Bloomfield Hills, Michigan. You can contact this provider via phone number 2483380345. The mailing address for Medilodge Of Bloomfield is 50 W Square Lake Rd, Bloomfield Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medilodge Of Bloomfield
Address 50 W Square Lake Rd, Bloomfield Hills, Michigan
Phone Number 2483380345
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Kueppers Jan
Telephone Number 5867525008

NPI Number Detail

NPI Number 1073573655
Provider Enumeration Date 2006-03-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 50 W Square Lake Rd
City Bloomfield Hills
State Michigan (MI)
Post Code 483020461
Phone Number 2483380345
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 634050
Definition:
(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 serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3453242 MI --
9702 MI BLUE CROSS OF MICHIGAN

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FAQs about Medilodge Of Bloomfield

What is the Medilodge Of Bloomfield's 1073573655?

The Medilodge Of Bloomfield's NPI (National Provider Identifier) Number is 1073573655. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Medilodge Of Bloomfield's facilities are situated?

The facilities of Medilodge Of Bloomfield are physically located at the following address: 50 W Square Lake Rd, Bloomfield Hills, MI, 483020461.

What is the area of specialization for Medilodge Of Bloomfield, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Medilodge Of Bloomfield is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073573655 to Medilodge Of Bloomfield?

The Medilodge Of Bloomfield received its 1073573655 assignment from the Centers for Medicare & Medicaid Services on 2006-03-27.

As of what date were the details related to Medilodge Of Bloomfield most recently updated or revised?

The information pertaining to Medilodge Of Bloomfield, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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