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MOROUN NURSING CENTER OF DETROIT LLC NPI 1770812281


NPI Information

NPI: 1770812281
Provider Name: MOROUN NURSING CENTER OF DETROIT, LLC

Doing Business As: AMBASSADOR NURSING & REHAB CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 23D0878580

Address:
8045 E JEFFERSON AVE
DETROIT, MI
ZIP 48214
Phone: (313) 821-3525
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MOROUN NURSING CENTER OF DETROIT, 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. MOROUN NURSING CENTER OF DETROIT, LLC NPI is 1770812281. The provider is registered as an organization entity type.
The provider Is Doing Business As Ambassador Nursing & Rehab Center.

The provider's business location address is:

8045 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-627
Phone: (313) 821-3525
Fax: (313) 821-3544

The provider's authorized official is Christopher M Niimi .
The authorized official title is Controller and has the following contact phone number (847) 674-7600.

The CLIA number assigned to this NPI record is 23D0878580 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 12/11/2009.


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
1314000000XSkilled Nursing Facility834650MICHIGANYes

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
1235102MEDICARE OSCAR/CERTIFICATIONMICHIGAN

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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