COMMON GROUND SANTUARY
NPI 1972942423
Nursing Care in Pontiac, MI

Active since June 18, 2013
461 W HURON ST, SUITE 100, PONTIAC, MI 48341(248) 456-1991 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nursing Care

About COMMON GROUND SANTUARY

This page provides the complete NPI Profile along with additional information for Common Ground Santuary, a provider established in Pontiac, Michigan operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1972942423 assigned on June 2013. The practitioner's primary taxonomy code is 251J00000X with license number 4704150668 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Barbara Tanya-jacknow Shreve R.n, (Staff Nurse)

NPI
1972942423 Verify this NPI
Provider Name
COMMON GROUND SANTUARY
Entity Type
Organization
Location Address
461 W HURON ST SUITE 100 PONTIAC, MI 48341
Location Phone
(248) 456-1991
Mailing Address
1410 S TELEGRAPH RD BLOOMFIELD HILLS, MI 48302
Mailing Phone
(248) 456-8150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2013
Last Update Date
06-18-2013
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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

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
License No.
4704150668
License State
MI
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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

MS. BARBARA TANYA-JACKNOW SHREVE R.N,

Authorized Official Title
STAFF NURSE
Authorized Official Phone
(248) 456-8150

Reviews for COMMON GROUND SANTUARY

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Surgical)
461 W HURON ST
PONTIAC, MI 48341
Physician Assistant
461 W HURON ST, SUITE 207
PONTIAC, MI 48341
Emergency Medicine
461 W HURON ST, NOMC EMERCENCY CENTER
PONTIAC, MI 48341
Emergency Medicine
461 W HURON ST, NOMC EMERGENCY CENTER
PONTIAC, MI 48341
General Acute Care Hospital
461 W HURON ST
PONTIAC, MI 48341
Radiology (Diagnostic Radiology)
461 W HURON ST
PONTIAC, MI 48341
Psychiatric Unit
461 W HURON ST, PSYCHIATRIC UNIT
PONTIAC, MI 48341
Obstetrics & Gynecology
461 W HURON ST, SUITE 207
PONTIAC, MI 48341
Internal Medicine
461 W HURON ST
PONTIAC, MI 48341
Surgery
461 W HURON ST, SUITE 206
PONTIAC, MI 48341
Anesthesiology
461 W HURON ST
PONTIAC, MI 48341
Obstetrics & Gynecology
461 W HURON ST
PONTIAC, MI 48341
Nurse Anesthetist, Certified Registered
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Nurse Anesthetist, Certified Registered
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Nurse Anesthetist, Certified Registered
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Nurse Anesthetist, Certified Registered
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Anesthesiology
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Nurse Anesthetist, Certified Registered
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Physician Assistant
461 W HURON ST, NOMC FAMILY PRACTICE CENTER
PONTIAC, MI 48341
Physician Assistant
461 W HURON ST, NOMC FAMILY PRACTICE CENTER
PONTIAC, MI 48341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972942423, enumerated as an "organization" on June 18, 2013.

The provider is located at 461 W HURON ST SUITE 100 PONTIAC, MI 48341 and the phone number is (248) 456-1991.

Nursing Care with taxonomy code 251J00000X.