BEECHWOOD MANOR INC
NPI 1962603753
Assisted Living Facility in St Clair Shores, MI

Q: What is Beechwood Manor Inc's NPI number?

The NPI number for Beechwood Manor Inc is 1962603753. It was assigned to this organization in the NPPES registry on May 30, 2007.

Q: What is Beechwood Manor Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 30, 2007CLIA 23D2216440 · Waiver

24600 GREATER MACK AVE, ST CLAIR SHORES, MI 48080(586) 773-5950(586) 773-0783 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Beechwood Manor Inc NPPES

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

BEECHWOOD MANOR INC (NPI 1962603753) is a healthcare organization registered as an assisted living facility in St Clair Shores, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Nouhad Srour, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962603753

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBEECHWOOD MANOR INC

Location Address24600 GREATER MACK AVESt Clair Shores, MI 48080

Mailing Address24600 Greater Mack AveSt Clair Shores, MI 48080 · (586) 773-5950 · Fax (586) 773-0783

Phone(586) 773-5950

Fax(586) 773-0783

Organization SubpartNo

Authorized OfficialNouhad SrourAdministrator · (586) 773-5950

Enumeration DateMay 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1962603753 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.

24600 GREATER MACK AVE, St Clair Shores, MI 48080

Open in Google Maps ↗

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 23D2216440

Beechwood Manor, Inc · St Clair Shores, MI

Active · expires Mar 11, 2027

CLIA Number23D2216440

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 12, 2025

Certificate Expiration DateMarch 11, 2027

Laboratory DirectorMichele E. Verbeke

Laboratory Phone(586) 773-5950

Laboratory LocationBeechwood Manor, Inc24600 Greater Mack, St Clair Shores, MI 48080

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 Beechwood Manor Inc's NPI number?

The NPI number for Beechwood Manor Inc is 1962603753. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Beechwood Manor Inc located?

Beechwood Manor Inc is located at 24600 Greater Mack Ave, St Clair Shores, MI 48080. The listed phone number is (586) 773-5950.

What is Beechwood Manor Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Beechwood Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2216440) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beechwood Manor Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.