MEDICARE: ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	09520	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1215934443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC.

Provider Business Mailing Address
First Line	:	15063 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1332
Country	:	US
Telephone Number	:	313-372-4065
Fax Number	:	313-372-0999

Provider Business Practice Location Address
First Line	:	15063 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1332
Country	:	US
Telephone Number	:	313-372-4065
Fax Number	:	313-372-0999

Authorized Official
Title or Position	:	CEO
Name	:	MR. MOHAMMAD ASHRAF QAZI
Credential	:
Telephone Number	:	248-386-0300

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	02/09/2010

Similar Medicare Providers

1669885018 — KELSEY BANACH OTR
Practice Location Address:

15063 GRATIOT AVE
DETROIT, MI
48205-1332

Practice Phone: 313-372-4065
Practice Fax:

1851418271 — MRS. LOUISA THOMPSON LMSW
Practice Location Address:

618 HARMON ST
DETROIT, MI
48202-1332

Practice Phone: 586-757-2357
Practice Fax: 586-757-2032

1639386907 — CALDWELL-THOMPSON MANOR
Practice Location Address:

618 HARMON ST
DETROIT, MI
48202-1332

Practice Phone: 313-924-9485
Practice Fax: 313-924-9494

1659606317 — REDICARE HEALTHCARE SERVICES
Practice Location Address:

17800 E WARREN AVE
DETROIT, MI
48224-1332

Practice Phone: 313-343-5301
Practice Fax: 313-343-6653

1023334646 — JUST YOUR KIND OF HOME CARE INC
Practice Location Address:

9910 PLAINVIEW AVE
DETROIT, MI
48228-1332

Practice Phone: 313-273-8367
Practice Fax:

1679918577 — MARCY ELAINE KIRKLAND LMSW
Practice Location Address:

15874 ROSEMONT AVE
DETROIT, MI
48223-1332

Practice Phone: 248-905-1698
Practice Fax:

Directions to “ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.