MARYCREST MANOR
NPI 1366443228
Assisted Living Facility in Livonia, MI
NPI Status: Active since August 02, 2005
Contact Information
15475 MIDDLEBELT RD
LIVONIA, MI
ZIP 48154
Phone: (734) 542-6360
Fax: (734) 427-5044
- Organization
- Assisted Living Facility
- Accepts Insurance
- CLIA Number: 23D0879711
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 12-01-2025
About MARYCREST MANOR
This page provides the complete NPI Profile along with additional information for Marycrest Manor, a provider established in Livonia, Michigan operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1366443228 assigned on August 2005. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Marycrest Manor. The authorized official of this NPI record is Ms. Pamela Sue Latovick (Vp Reimbursement)
- NPI
- 1366443228
- Provider Legal Name
- TRINITY CONTINUING CARE SERVICES
- Other Organization Name
- MARYCREST MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 15475 MIDDLEBELT RD LIVONIA, MI 48154
- Location Phone
- (734) 542-6360
- Location Fax
- (734) 427-5044
- Mailing Address
- 20555 VICTOR PKWY LIVONIA, MI 48152
- Mailing Phone
- (734) 343-6628
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2005
- Last Update Date
- 09-19-2023
- Code Navigator
Location Map
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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 824220 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Southeast Michigan Network - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Standard Silver - Trinity Health East Network - HMO
- MyPriority Value Bronze - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2083002 | MEDICAID (05) | MI | |
| 0850073000-8 | OTHER (01) | MESC | |
| 824220 | OTHER (01) | MI | MDCIS/BHS |
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
- 23D0879711
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- December 02, 2023
- Certificate Expiration Date
- December 01, 2025
- Laboratory Director
- CHARLIQUE NELSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Marycrest Manor 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.
Reviews for MARYCREST MANOR
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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. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 4 | 3 | 2 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 4 | 6 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 4 + 6 + 2 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1366443228 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578719282 | AMARCHAND TALASILA Individual | Physical Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 427-9175 |
| 1386120897 | MALAWIKA R SABNIS Individual | Occupational Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 276-6490 |
| 1386120749 | ARLENE DECHAVEZ DIMAGUILA OTR/L Individual | Occupational Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 743-4000 |
| 1255817516 | VICTORIA CWYCYSHYN Individual | Occupational Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 743-4000 |
| 1659851228 | MRS. NATALIE J HOBSON OTRL Individual | Occupational Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 743-4000 |
| 1972083350 | TARRAH ARGIERO OTR/L Individual | Occupational Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (810) 623-1087 |
| 1134609142 | KELLY KONDRATKO Individual | Occupational Therapist | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 743-4000 |
| 1922648963 | NAVINA SUSAN JOHNSON Individual | Physical Therapy Assistant | 15475 MIDDLEBELT RD LIVONIA, MI 48154 (734) 743-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366443228, enumerated in the NPI registry as an "organization" on August 02, 2005
The provider is located at 15475 Middlebelt Rd Livonia, Mi 48154 and the phone number is (734) 542-6360
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Priority. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0879711 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on August 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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