Provider Demographics
NPI:1306854666
Name:OAKWOOD HEALTH PROMOTIONS, INC.
Entity Type:Organization
Organization Name:OAKWOOD HEALTH PROMOTIONS, INC.
Other - Org Name:BEAUMONT REHABILITATION & CONTINUING CARE, DEARBORN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:E
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:947-522-3333
Mailing Address - Street 1:26901 BEAUMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1963
Mailing Address - Fax:
Practice Address - Street 1:16391 ROTUNDA DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1172
Practice Address - Country:US
Practice Address - Phone:313-253-9700
Practice Address - Fax:313-253-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI82-4022314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI00000005083AOtherCAPE HEALTH
MI2588801OtherCIGNA
MISN820008OtherM-CARE
MI2741252Medicaid
MI4437126OtherAETNA
MI00000005083AOtherCAPE HEALTH
MISN820008OtherM-CARE
MI2741252Medicaid