HAMPTON MANOR OF SHELBY LLC
NPI 1699312298
Assisted Living Facility in Shelby Township, MI

Active since December 03, 2019CLIA 23D2224252 · Waiver
51831 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316(586) 333-4940 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hampton Manor Of Shelby Llc NPPES

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

HAMPTON MANOR OF SHELBY LLC (NPI 1699312298) is a healthcare organization registered as an assisted living facility in Shelby Township, Michigan and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Douglas Edward, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699312298
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHAMPTON MANOR OF SHELBY LLC
Location Address51831 VAN DYKE AVEShelby Township, MI 48316-4454
Mailing Address51831 Van Dyke AveShelby Township, MI 48316-4454 · (586) 333-4940
Organization SubpartNo
Authorized OfficialDouglas EdwardExecutive Director · (248) 930-7875
Enumeration DateDecember 3, 2019
NPI 1699312298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

51831 VAN DYKE AVE, Shelby Township, MI 48316

Other Identifiers 1

OtherAH500387033MI · State Of Michigan Hfa License

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
23D2224252
Facility Type
Assisted Living Facility
Certificate Effective Date
May 12, 2025
Certificate Expiration Date
May 11, 2027
Laboratory Director
DR. NAVEED MAHFOOZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hampton Manor Of Shelby Llc 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.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
51831 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699312298, enumerated as an "organization" on December 03, 2019.

The provider is located at 51831 VAN DYKE AVE SHELBY TOWNSHIP, MI 48316 and the phone number is (586) 333-4940.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.