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FAIRLANE SENIOR CARE AND REHAB CENTER LLC NPI 1750431276


NPI Information

NPI: 1750431276
Provider Name: FAIRLANE SENIOR CARE AND REHAB CENTER, LLC
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 23D0709874

Address:
15750 JOY RD
DETROIT, MI
ZIP 48228
Phone: (313) 273-6850
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FAIRLANE SENIOR CARE AND REHAB CENTER, LLC is a skilled nursing facility in Detroit, MI. The provider is (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. FAIRLANE SENIOR CARE AND REHAB CENTER, LLC NPI is 1750431276. The provider is registered as an organization entity type.

The provider's business location address is:

15750 JOY RD
DETROIT, MI
ZIP 48228-196
Phone: (313) 273-6850
Fax: (313) 273-5977

The provider's authorized official is Richard Anthony Scherrer .
The authorized official title is Owner and has the following contact phone number (810) 534-0150.

The CLIA number assigned to this NPI record is 23D0709874 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies834360MICHIGANNo
2314000000XSkilled Nursing Facility834360MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14710531MEDICAIDMICHIGAN
2S9565OTHERMICHIGANBCBSM
30H22495OTHERMICHIGANBCBS DME P&O
4235445MEDICARE OSCAR/CERTIFICATIONMICHIGAN
55422380001MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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