Healthcare Provider Details

I. General information

NPI: 1013926443
Provider Name (Legal Business Name): WEST OAKS SENIOR CARE AND REHAB CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22355 W 8 MILE RD
DETROIT MI
48219-1217
US

IV. Provider business mailing address

10503 CITATION DR STE 100
BRIGHTON MI
48116-6551
US

V. Phone/Fax

Practice location:
  • Phone: 313-255-6450
  • Fax: 313-538-2957
Mailing address:
  • Phone: 810-534-0150
  • Fax: 810-534-0208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number834950
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number834950
License Number StateMI

VIII. Authorized Official

Name: TODD SANGSTER
Title or Position: CFO
Credential:
Phone: 810-534-0150