COMMON GROUND SANTUARY
NPI 1972942423
Nursing Care in Pontiac, MI

NPI Status: Active since June 18, 2013

Contact Information

461 W HURON ST
SUITE 100
PONTIAC, MI
ZIP 48341
Phone: (248) 456-1991

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  • 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 12 years ago. The authorized official of this NPI record is Ms. Barbara Tanya-jacknow Shreve R.n, (Staff Nurse)

NPI
1972942423
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

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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.
1972942423
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142184444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 8 + 4 + 4 + 4 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1972942423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MR. GREYARD R LAMM PA-C

Physician Assistant

(Surgical)

461 W HURON ST
PONTIAC, MI
ZIP 48341

(248) 857-7200

RICKY BOLDMAN

Physician Assistant

461 W HURON ST
SUITE 207
PONTIAC, MI
ZIP 48341

(248) 857-7160

DR. WILLIAM M. SEROTE D.O.

Emergency Medicine

461 W HURON ST
NOMC EMERCENCY CENTER
PONTIAC, MI
ZIP 48341

(248) 857-7440

DR. PHILLIP J. MASTERSON M.D.

Emergency Medicine

461 W HURON ST
NOMC EMERGENCY CENTER
PONTIAC, MI
ZIP 48341

(248) 857-7440

PONTIAC GENERAL HOSPITAL AND MEDICAL CENTER

General Acute Care Hospital

461 W HURON ST
PONTIAC, MI
ZIP 48341

(248) 857-7200

MAHMOOD A KHALID MD

Radiology

(Diagnostic Radiology)

461 W HURON ST
PONTIAC, MI
ZIP 48341

(248) 857-7515

PONTIAC GENERAL HOSPITAL AND MEDICAL CENTER

Psychiatric Unit

461 W HURON ST
PSYCHIATRIC UNIT
PONTIAC, MI
ZIP 48341

(248) 857-7200

DR. MANOOCHEHR NOROOZIAN M.D.

Obstetrics & Gynecology

461 W HURON ST
SUITE 207
PONTIAC, MI
ZIP 48341

(248) 857-7200

NORTH OAKLAND MEDICAL CENTER

Internal Medicine

461 W HURON ST
PONTIAC, MI
ZIP 48341

(248) 857-7583

NORTH OAKLAND MEDICAL CENTER

Surgery

461 W HURON ST
SUITE 206
PONTIAC, MI
ZIP 48341

(248) 857-7583

DR. BARBARA URSZULA ARASZKIEWICZ-BAJ M.D.

Anesthesiology

461 W HURON ST
PONTIAC, MI
ZIP 48341

(248) 857-7306

NORTH OAKLAND MEDICAL CENTER

Obstetrics & Gynecology

461 W HURON ST
PONTIAC, MI
ZIP 48341

(248) 857-7583

LEATHA BROOKS CRNA

Nurse Anesthetist, Certified Registered

461 W HURON ST
DEPARTMENT OF ANESTHESIA
PONTIAC, MI
ZIP 48341

(248) 857-7036

STELLA RATHEBE CRNA

Nurse Anesthetist, Certified Registered

461 W HURON ST
DEPARTMENT OF ANESTHESIA
PONTIAC, MI
ZIP 48341

(248) 857-7036

ALBERT SEAMAN CRNA

Nurse Anesthetist, Certified Registered

461 W HURON ST
DEPARTMENT OF ANESTHESIA
PONTIAC, MI
ZIP 48341

(248) 857-7036

THEOPHLIS CARTER CRNA

Nurse Anesthetist, Certified Registered

461 W HURON ST
DEPARTMENT OF ANESTHESIA
PONTIAC, MI
ZIP 48341

(248) 857-7306

ROBIN DELANEY MD

Anesthesiology

461 W HURON ST
DEPARTMENT OF ANESTHESIA
PONTIAC, MI
ZIP 48341

(248) 857-7036

MARTIN LEE ZARSKI

Nurse Anesthetist, Certified Registered

461 W HURON ST
DEPARTMENT OF ANESTHESIA
PONTIAC, MI
ZIP 48341

(248) 857-7036

BRIAN EYLER PA

Physician Assistant

461 W HURON ST
NOMC FAMILY PRACTICE CENTER
PONTIAC, MI
ZIP 48341

(248) 857-7200

KATHLEEN KORNELI-GRADOWSKI PA

Physician Assistant

461 W HURON ST
NOMC FAMILY PRACTICE CENTER
PONTIAC, MI
ZIP 48341

(248) 857-7160

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.