PROMEDICA SKILLED NURSING AND REHABILITATION (ALLEN PARK)
NPI 1528007960
Skilled Nursing Facility in Allen Park, MI
NPI Status: Active since June 04, 2006
Contact Information
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
Phone: (313) 386-2150
Fax: (313) 386-9398
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 23D0893259
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 10-18-2026
About PROMEDICA SKILLED NURSING AND REHABILITATION (ALLEN PARK)
This page provides the complete NPI Profile along with additional information for Promedica Skilled Nursing And Rehabilitation (allen Park), a provider established in Allen Park, Michigan operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1528007960 assigned on June 2006. The practitioner's primary taxonomy code is 314000000X with license number 824020 (MI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Promedica Skilled Nursing And Rehabilitation (allen Park). The authorized official of this NPI record is Mr. Martin D Allen (Director)
- NPI
- 1528007960
- Provider Legal Name
- HEARTLAND OF ALLEN PARK MI, LLC
- Other Organization Name
- PROMEDICA SKILLED NURSING AND REHABILITATION (ALLEN PARK)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9150 ALLEN RD ALLEN PARK, MI 48101
- Location Phone
- (313) 386-2150
- Location Fax
- (313) 386-9398
- Mailing Address
- 333 N SUMMIT ST TOLEDO, OH 43604
- Mailing Phone
- (419) 252-5500
- Mailing Fax
- (313) 386-9398
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2006
- Last Update Date
- 04-21-2023
- Code Navigator
Location Map
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.
- 824020
- 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:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 605275883 | MEDICAID (05) | MI |
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
- 23D0893259
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- October 19, 2024
- Certificate Expiration Date
- October 18, 2026
- Laboratory Director
- RICHARD T. SHOOK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Promedica Skilled Nursing And Rehabilitation (allen Park) 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 PROMEDICA SKILLED NURSING AND REHABILITATION (ALLEN PARK)
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 0 | 7 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 0 | 14 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 0 + 1 + 4 + 9 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528007960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
JENNIFER LYNN ROD OTRL
Occupational Therapist
(Physical Rehabilitation)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
LISA ANN-MARIE GARCIA-WATSON OTRL
Occupational Therapist
(Gerontology)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
SHRADDHA SHAH PT
Physical Therapist
(Geriatrics)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
SYLVIA MARY CIMINO RPT
Physical Therapist
(Geriatrics)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
KARI FABYAN
Occupational Therapist
(Gerontology)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
JILL MARIE MORGAN
Occupational Therapist
(Gerontology)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
RHEA LYNN KIBIC TORRES-MACASPAC
Physical Therapist
(Geriatrics)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
JENNIFER MARIE PORTER PT
Physical Therapist
(Geriatrics)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
MELISSA ANN DOMINGO OTRL
Occupational Therapist
(Gerontology)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
ASHLEY ANN FARMER MA,CCC-SLP
Speech-Language Pathologist
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
KRISTIN HALL FNP
Nurse Practitioner
(Family)
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
OPTALIS ALLEN PARK OPCO LLC
Skilled Nursing Facility
9150 ALLEN RD
ALLEN PARK, MI
ZIP 48101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528007960, enumerated as an "organization" on June 04, 2006.
The provider is located at 9150 ALLEN RD ALLEN PARK, MI 48101 and the phone number is (313) 386-2150.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, HAP. Please consult your insurance carrier or call the provider to verify.
