MARY'S RESIDENTIAL CARE FOR SENIORS, INC
NPI 1659069359
Assisted Living Facility - Assisted Living, Mental Illness in Clinton Township, MI

Active since May 01, 2023CLIA 23D2205148 · Waiver
35225 SILVANO ST, CLINTON TOWNSHIP, MI 48035(586) 790-0640(586) 790-4376 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary's Residential Care For Seniors, Inc NPPES

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

MARY'S RESIDENTIAL CARE FOR SENIORS, INC (NPI 1659069359) is a healthcare organization registered as an assisted living, mental illness in Clinton Township, Michigan and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Seth Gyamfi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659069359
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameMARY'S RESIDENTIAL CARE FOR SENIORS, INC
Location Address35225 SILVANO STClinton Township, MI 48035-2686
Mailing Address35225 Silvano StClinton Township, MI 48035-2686 · (248) 778-8801 · Fax (586) 790-4376
Fax(586) 790-4376
Organization SubpartNo
Authorized OfficialSeth GyamfiAdministrator · (248) 778-8801
Enumeration DateMay 1, 2023
NPPES CertifiedApril 29, 2023
NPI 1659069359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
35225 SILVANO ST, Clinton Township, MI 48035

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 23D2205148

Mary's Residential Care For Seniors, Inc · Clinton Township, MI
Active · expires Dec 12, 2026
CLIA Number23D2205148
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorFrank Winters
Laboratory Phone(586) 790-0640
Laboratory LocationMary's Residential Care For Seniors, Inc35225 Silvano Street, Clinton Township, MI 48035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mary's Residential Care For Seniors, Inc's NPI number?

The NPI number for Mary's Residential Care For Seniors, Inc is 1659069359. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Mary's Residential Care For Seniors, Inc located?

Mary's Residential Care For Seniors, Inc is located at 35225 Silvano St, Clinton Township, MI 48035. The listed phone number is (586) 790-0640.

What is Mary's Residential Care For Seniors, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Mary's Residential Care For Seniors, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2205148) is associated with this NPI, valid through December 12, 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 Mary's Residential Care For Seniors, Inc was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.