EVANGELICAL HOME - STERLING HEIGHTS
NPI 1639157993
Nursing Facility/Intermediate Care Facility in Sterling Heights, MI

NPI Status: Active since January 06, 2006

Contact Information

14900 SHORELINE DR
STERLING HEIGHTS, MI
ZIP 48313
Phone: (586) 247-4700
Fax: (586) 247-1499

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About EVANGELICAL HOME - STERLING HEIGHTS

This page provides the complete NPI Profile along with additional information for Evangelical Home - Sterling Heights, a provider established in Sterling Heights, Michigan operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1639157993 assigned on January 2006. The practitioner's primary taxonomy code is 313M00000X with license number 504015 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Evangelical Home - Sterling Heights. The authorized official of this NPI record is Mr. Lawrence G Petroskey (Cfo)

NPI
1639157993
Provider Legal Name
EVANGELICAL HOMES OF MICHIGAN
Other Organization Name
EVANGELICAL HOME - STERLING HEIGHTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14900 SHORELINE DR STERLING HEIGHTS, MI 48313
Location Phone
(586) 247-4700
Location Fax
(586) 247-1499
Mailing Address
14900 SHORELINE DR STERLING HEIGHTS, MI 48313
Mailing Phone
(586) 247-4700
Mailing Fax
(586) 247-1499
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2006
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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
504015
License State
MI
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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. LAWRENCE G PETROSKEY

Authorized Official Title
CFO
Authorized Official Phone
(313) 836-3499

Reviews for EVANGELICAL HOME - STERLING HEIGHTS

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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.
1639157993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26692514918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 5 + 1 + 4 + 9 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1639157993 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 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801302187SHORELINE OPCO, LLC
Organization
Skilled Nursing Facility14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1992209035 MYLA ANGELES PHYSICAL THERAPIST
Individual
Physical Therapist14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1689179699 JOAN CAROL GRAWBURG BS PT
Individual
Physical Therapist14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1992283345 HILARY KOSTUS
Individual
Occupational Therapist14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1447731336 KIMBERLY ROSE TEWELL COTA
Individual
Occupational Therapy Assistant14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1396218749 ALYSSA GUYETT
Individual
Occupational Therapy Assistant14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1659837623 DANIELLE MARIE RADJEWSKI COTAL
Individual
Occupational Therapy Assistant14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1699495853 JAMES RICE
Individual
Physical Therapy Assistant14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1588408900 ALICIA GHANAM
Individual
Physical Therapy Assistant14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700
1427843796 JOSEPHINE MARIE JABORO
Individual
Speech-Language Pathologist14900 SHORELINE DR
STERLING HEIGHTS, MI 48313
(586) 247-4700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639157993, enumerated in the NPI registry as an "organization" on January 06, 2006

The provider is located at 14900 Shoreline Dr Sterling Heights, Mi 48313 and the phone number is (586) 247-4700

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

This NPI record was last updated on January 06, 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].
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