MANOR OF SOUTHGATE SKILLED NURSING AND REHABILITATION
NPI 1487602959
Skilled Nursing Facility in Southgate, MI

NPI Status: Active since May 05, 2006

Contact Information

15400 TRENTON RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 284-4620
Fax: (734) 284-0851

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 23D0671088
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About MANOR OF SOUTHGATE SKILLED NURSING AND REHABILITATION

This page provides the complete NPI Profile along with additional information for Manor Of Southgate Skilled Nursing And Rehabilitation, a provider established in Southgate, Michigan operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1487602959 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 824290 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Manor Of Southgate Skilled Nursing And Rehabilitation. The authorized official of this NPI record is Shannon M Hack (Cfo)

NPI
1487602959
Provider Legal Name
RHEMA SOUTHGATE OPERATING LLC
Other Organization Name
MANOR OF SOUTHGATE SKILLED NURSING AND REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15400 TRENTON RD SOUTHGATE, MI 48195
Location Phone
(734) 284-4620
Location Fax
(734) 284-0851
Mailing Address
17515 W NINE MILE RD SUITE 925 SOUTHFIELD, MI 48075
Mailing Phone
(248) 569-8400
Mailing Fax
(734) 284-0851
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
824290
License State
MI
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANNON M HACK

Authorized Official Title
CFO
Authorized Official Phone
(248) 569-8400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0671088
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MICHAEL N. MWATHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Manor Of Southgate Skilled Nursing And Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MANOR OF SOUTHGATE SKILLED NURSING AND REHABILITATION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487602959, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 2 + 0 + 4 + 9 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1487602959.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Occupational Therapist
15400 TRENTON RD
SOUTHGATE, MI 48195
Occupational Therapist
15400 TRENTON RD
SOUTHGATE, MI 48195
Speech-Language Pathologist
15400 TRENTON RD
SOUTHGATE, MI 48195
Skilled Nursing Facility
15400 TRENTON RD
SOUTHGATE, MI 48195
Physical Therapist
15400 TRENTON RD
SOUTHGATE, MI 48195
Speech-Language Pathologist
15400 TRENTON RD
SOUTHGATE, MI 48195
Physical Therapist
15400 TRENTON RD
SOUTHGATE, MI 48195
Physical Therapist
15400 TRENTON RD
SOUTHGATE, MI 48195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487602959, enumerated as an "organization" on May 05, 2006.

The provider is located at 15400 TRENTON RD SOUTHGATE, MI 48195 and the phone number is (734) 284-4620.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.