Provider Demographics
NPI:1346208006
Name:RHEMA-NOVI, INC
Entity Type:Organization
Organization Name:RHEMA-NOVI, INC
Other - Org Name:THE MANOR OF NOVI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ASHROF
Authorized Official - Last Name:QAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-386-0300
Mailing Address - Street 1:24500 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2844
Mailing Address - Country:US
Mailing Address - Phone:248-477-2000
Mailing Address - Fax:248-477-9006
Practice Address - Street 1:24500 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2844
Practice Address - Country:US
Practice Address - Phone:248-477-2000
Practice Address - Fax:248-477-9006
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIENA HEALTHCARE MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-03
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI634460314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4522498Medicaid
MI09760OtherBCBSM
235529Medicare Oscar/Certification