BOULEVARD MANOR L.L.C.
NPI 1063712586
Skilled Nursing Facility in Detroit, MI

Active since November 01, 2010
464 E GRAND BLVD, DETROIT, MI 48207(313) 579-2255(313) 579-5756 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boulevard Manor L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD MANOR L.L.C. (NPI 1063712586) is a healthcare organization registered as a skilled nursing facility in Detroit, Michigan and active in the NPI registry since November 2010. The organization lists Fahim Uddin, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1063712586
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBOULEVARD MANOR L.L.C.
Location Address464 E GRAND BLVDDetroit, MI 48207-3637
Mailing Address2920 Oakwood Blvd, Suite BMelvindale, MI 48122-1244 · (313) 579-2255 · Fax (313) 579-5756
Fax(313) 579-5756
Organization SubpartNo
Authorized OfficialFahim UddinAuthorized Member · (313) 579-2255
Enumeration DateNovember 1, 2010
Last NPPES UpdateApril 20, 2011
NPI 1063712586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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 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.
464 E GRAND BLVD, Detroit, MI 48207

Other Identifiers 1

Medicare OSCAR/certification235242MI

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Neurorehabilitation)
464 E GRAND BLVD
DETROIT, MI 48207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulevard Manor L.L.C.'s NPI number?

The NPI number for Boulevard Manor L.L.C. is 1063712586. It was assigned to this organization in the NPPES registry on November 1, 2010.

Where is Boulevard Manor L.L.C. located?

Boulevard Manor L.L.C. is located at 464 E Grand Blvd, Detroit, MI 48207. The listed phone number is (313) 579-2255.

What is Boulevard Manor L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Boulevard Manor L.L.C. accept?

Health plans from AvMed list Boulevard Manor L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boulevard Manor L.L.C. was last updated on April 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.