MEDICARE: MISSION POINT OF DETROIT, LLC

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

General Provider Information

NPI Number	:	1427549955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSION POINT OF DETROIT, LLC

Provider Business Mailing Address
First Line	:	30700 TELEGRAPH RD STE 1510
Second Line	:
City	:	BINGHAM FARMS
State	:	MI
Zip	:	48025-5802
Country	:	US
Telephone Number	:	248-940-5390
Fax Number	:	248-792-9115

Provider Business Practice Location Address
First Line	:	2102 ORLEANS
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207
Country	:	US
Telephone Number	:	248-577-2632
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HARI MALI
Credential	:
Telephone Number	:	248-577-2632

Provider Enumeration Date	:	05/21/2018
Last Update Date	:	09/09/2022

Similar Medicare Providers

1134791171 — KAI PAUL
Practice Location Address:

6309 MACK AVE
DETROIT, MI
48207-2302

Practice Phone: 313-921-4700
Practice Fax:

1336076454 — AMERICARE
Practice Location Address:

3500 E JEFFERSON AVE APT 229
DETROIT, MI
48207-4398

Practice Phone: 313-379-3000
Practice Fax:

1053728030 — MRS. JANE KENNEDY BAYS LMSW
Practice Location Address:

751 E GRAND BLVD
DETROIT, MI
48207-2529

Practice Phone: 313-922-2222
Practice Fax:

1992632699 — TENDER CARE GROUP
Practice Location Address:

3400 RUSSELL ST
DETROIT, MI
48207-2017

Practice Phone: 248-861-4940
Practice Fax:

1922935584 — MIRIAM LYNISE MCCLOUD
Practice Location Address:

6309 MACK AVE
DETROIT, MI
48207-2302

Practice Phone: 313-921-4700
Practice Fax:

1205763638 — SHANTALE SHELTON
Practice Location Address:

6309 MACK AVE
DETROIT, MI
48207-2302

Practice Phone: 313-898-5263
Practice Fax:

1194652495 — VANEKA MATHEWS
Practice Location Address:

269 WALKER ST STE 505
DETROIT, MI
48207-4258

Practice Phone: 313-445-4509
Practice Fax:

Directions to “MISSION POINT OF DETROIT, LLC ” 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 © 2007-2026 (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.