ILLUMINATE HC LIVONIA
NPI 1235628868
Skilled Nursing Facility in Livonia, MI

Active since May 09, 2018CLIA 23D0667013 · Waiver
29270 MORLOCK ST, LIVONIA, MI 48152(248) 476-0555 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2018, Jun 16, 2018, May 9, 2018 (3 updates tracked since 2018).

About Illuminate Hc Livonia NPPES

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

ILLUMINATE HC LIVONIA (NPI 1235628868) is a healthcare organization registered as a skilled nursing facility in Livonia, Michigan and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yair Zuckerman, Manager, as its authorized official.

NPPES Registry Identity

NPI1235628868
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIVONIA SNF, LLC
Location Address29270 MORLOCK STLivonia, MI 48152
Mailing Address620 Davis St Ste 200Evanston, IL 60201-4419 · (312) 590-1055
Organization SubpartNo
Authorized OfficialYair ZuckermanManager · (773) 517-4777
Enumeration DateMay 9, 2018
Last NPPES UpdateAugust 17, 20183 updates tracked since enumeration
NPI 1235628868 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.
29270 MORLOCK ST, Livonia, MI 48152

Other Names 2

Doing Business AsIlluminate Hc Livonia
Doing Business AsSkld Livonia

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0667013

Livonia Opco, LLC · Livonia, MI
Active · expires Aug 31, 2026
CLIA Number23D0667013
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJovon Holmes
Laboratory Phone(248) 476-0555
Laboratory LocationLivonia Opco, LLC29270 Morlock Street, Livonia, MI 48152
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Speech-Language Pathologist
29270 MORLOCK ST
LIVONIA, MI 48152
Physical Therapist
29270 MORLOCK ST
LIVONIA, MI 48152
Physical Therapist
29270 MORLOCK ST
LIVONIA, MI 48152
Skilled Nursing Facility
29270 MORLOCK ST
LIVONIA, MI 48152
Skilled Nursing Facility
29270 MORLOCK ST
LIVONIA, MI 48152

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 Livonia Snf, LLC's NPI number?

The NPI number for Livonia Snf, LLC is 1235628868. It was assigned to this organization in the NPPES registry on May 9, 2018. The provider is doing business as Illuminate Hc Livonia and SKLD Livonia.

Where is Livonia Snf, LLC located?

Livonia Snf, LLC is located at 29270 Morlock St, Livonia, MI 48152. The listed phone number is (248) 476-0555.

What is Livonia Snf, LLC's specialty?

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

Does Livonia Snf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0667013) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Livonia Snf, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Livonia Snf, LLC 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 Livonia Snf, LLC was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.