Healthcare Provider Details

I. General information

NPI: 1841954880
Provider Name (Legal Business Name): HFV OPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 FORD RD
DEARBORN MI
48126-4611
US

IV. Provider business mailing address

2715 WOODWARD AVE STE 300
DETROIT MI
48201-3030
US

V. Phone/Fax

Practice location:
  • Phone: 877-660-1807
  • Fax:
Mailing address:
  • Phone: 313-546-6138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY SEGAL
Title or Position: AUTHORIZED AGENT
Credential:
Phone: 313-546-6138