Medilodge Of Bloomfield

LBN: Medilodge Of Bloomfield
Medilodge Of Bloomfield is an health care organization with primary practice located at 50 W Square Lake Rd , Bloomfield Hills MI 48302-0461. 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 Bloomfield can be contacted via phone (248) 338-0345, or through Kueppers, Jan via phone (586) 752-5008.

Contact Information

Primary practice address
50 W Square Lake Rd Bloomfield Hills MI 48302-0461
Phone: (248) 338-0345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kueppers, Jan
Phone: (586) 752-5008

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 634050 Michigan

Profile Details

NPI number 1073573655
LBN Legal business name Medilodge Of Bloomfield
DBA Doing business as
Authorized official Kueppers, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1073573655 NPPES
Michigan MEDICAID 3453242
Michigan Other 09702

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