PARK GERIATRIC VILLAGE, INC
NPI 1528145901
Skilled Nursing Facility in Highland Park, MI

NPI Status: Active since November 01, 2006

Contact Information

111 FORD ST
HIGHLAND PARK, MI
ZIP 48203
Phone: (313) 883-3858
Fax: (313) 883-9142

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  • Organization
  • Skilled Nursing Facility

About PARK GERIATRIC VILLAGE, INC

This page provides the complete NPI Profile along with additional information for Park Geriatric Village, Inc, a provider established in Highland Park, Michigan operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1528145901 assigned on November 2006. The practitioner's primary taxonomy code is 314000000X with license number 824130 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Donald James Bortz (President)

NPI
1528145901
Provider Name
PARK GERIATRIC VILLAGE, INC
Entity Type
Organization
Location Address
111 FORD ST HIGHLAND PARK, MI 48203
Location Phone
(313) 883-3858
Location Fax
(313) 883-9142
Mailing Address
11700 E 10 MILE RD WARREN, MI 48089
Mailing Phone
(586) 759-5966
Mailing Fax
(313) 883-9142
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
08-22-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
824130
License State
MI
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

MR. DONALD JAMES BORTZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(586) 759-5966

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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.
1528145901
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548241090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 4 + 1 + 0 + 9 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1528145901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104325240 SHARICE BAUSLEY
Individual
Occupational Therapy Assistant111 FORD ST
HIGHLAND PARK, MI 48203
(313) 883-3585
1346749488 MONIL I PATEL
Individual
Physical Therapist111 FORD ST
HIGHLAND PARK, MI 48203
(313) 883-3585
1780140236 DARRYL SELDON
Individual
Speech-Language Pathologist111 FORD ST
HIGHLAND PARK, MI 48203
(313) 305-6600
1225418304HIGHLAND PARK OPCO, LLC
Organization
Skilled Nursing Facility111 FORD ST
HIGHLAND PARK, MI 48203
(313) 883-3585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528145901, enumerated in the NPI registry as an "organization" on November 01, 2006

The provider is located at 111 Ford St Highland Park, Mi 48203 and the phone number is (313) 883-3858

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on November 01, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.