MEDILODGE OF BLOOMFIELD
NPI 1073573655
Skilled Nursing Facility in Bloomfield Hills, MI

Active since March 27, 2006
50 W SQUARE LAKE RD, BLOOMFIELD HILLS, MI 48302(248) 338-0345 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medilodge Of Bloomfield NPPES

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

MEDILODGE OF BLOOMFIELD (NPI 1073573655) is a healthcare organization registered as a skilled nursing facility in Bloomfield Hills, Michigan and active in the NPI registry since March 2006. The organization lists Jan Kueppers, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073573655
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEDILODGE OF BLOOMFIELD
Location Address50 W SQUARE LAKE RDBloomfield Hills, MI 48302-0461
Mailing Address64500 Van Dyke RdWashington, MI 48095-2583
Organization SubpartNo
Authorized OfficialJan KueppersChief Financial Officer · (586) 752-5008
Enumeration DateMarch 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1073573655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MI · 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 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.
50 W SQUARE LAKE RD, Bloomfield Hills, MI 48302

Other Identifiers 2

Other09702MI · Blue Cross Of Michigan
Medicaid3453242MI

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 Medilodge Of Bloomfield's NPI number?

The NPI number for Medilodge Of Bloomfield is 1073573655. It was assigned to this organization in the NPPES registry on March 27, 2006.

Where is Medilodge Of Bloomfield located?

Medilodge Of Bloomfield is located at 50 W Square Lake Rd, Bloomfield Hills, MI 48302. The listed phone number is (248) 338-0345.

What is Medilodge Of Bloomfield's specialty?

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

When was this NPI record last updated?

The NPPES record for Medilodge Of Bloomfield was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.