MEDICARE: GARDNER PROPERTY MANAGEMENT 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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1962357814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDNER PROPERTY MANAGEMENT INC.

Provider Business Mailing Address
First Line	:	24351 W MCNICHOLS RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3622
Country	:	US
Telephone Number	:	248-885-9016
Fax Number	:

Provider Business Practice Location Address
First Line	:	20013 VAUGHAN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-2003
Country	:	US
Telephone Number	:	248-885-9016
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARK SCHAFFER
Credential	:
Telephone Number	:	248-885-9016

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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