ADVANTAGE LIVING CENTER-ROSEVILLE
NPI 1417354200
Skilled Nursing Facility in Roseville, MI

Active since November 24, 2014CLIA 23D0709180 · Waiver
25375 KELLY RD, ROSEVILLE, MI 48066(586) 773-6022 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advantage Living Center-roseville NPPES

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

ADVANTAGE LIVING CENTER-ROSEVILLE (NPI 1417354200) is a healthcare organization registered as a skilled nursing facility in Roseville, Michigan and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kelsey Hastings, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1417354200
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRHEMA-ROSEVILLE OPERATING LLC
Location Address25375 KELLY RDRoseville, MI 48066-4960
Mailing Address17515 W 9 Mile Rd, Suite 925Southfield, MI 48075-4403 · (248) 569-8400 · Fax (248) 569-5070
Organization SubpartNo
Authorized OfficialKelsey HastingsChief Executive Officer · (248) 569-8400
Enumeration DateNovember 24, 2014
NPI 1417354200 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 · 50418
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.
25375 KELLY RD, Roseville, MI 48066

Other Names 1

Doing Business AsAdvantage Living Center-roseville

Other Identifiers 1

Medicare UPIN235491MI

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 23D0709180

Advantage Living Center/Roseville · Roseville, MI
Active · expires Aug 31, 2026
CLIA Number23D0709180
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShanita D. Bradley
Laboratory Phone(586) 773-6022
Laboratory LocationAdvantage Living Center/Roseville25375 Kelly Rd, Roseville, MI 48066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapy Assistant
25375 KELLY RD
ROSEVILLE, MI 48066
Skilled Nursing Facility
25375 KELLY RD
ROSEVILLE, MI 48066

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 Rhema-Roseville Operating LLC's NPI number?

The NPI number for Rhema-Roseville Operating LLC is 1417354200. It was assigned to this organization in the NPPES registry on November 24, 2014. The provider is doing business as Advantage Living Center-Roseville.

Where is Rhema-Roseville Operating LLC located?

Rhema-Roseville Operating LLC is located at 25375 Kelly Rd, Roseville, MI 48066. The listed phone number is (586) 773-6022.

What is Rhema-Roseville Operating LLC's specialty?

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

Does Rhema-Roseville Operating LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0709180) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rhema-Roseville Operating LLC was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.