Provider Demographics
NPI:1598815912
Name:PROJECT COMPASSION HEALTH
Entity Type:Organization
Organization Name:PROJECT COMPASSION HEALTH
Other - Org Name:LIVONIA WOODS NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:STORMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-262-7389
Mailing Address - Street 1:4100 PIER NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504
Mailing Address - Country:US
Mailing Address - Phone:989-262-7389
Mailing Address - Fax:989-652-3929
Practice Address - Street 1:33600 LUTHER LN
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5477
Practice Address - Country:US
Practice Address - Phone:734-421-6564
Practice Address - Fax:734-524-9379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI824028314000000X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI09863OtherBCBSM
MI0H22545OtherBCBS DME P&O
MI4622395Medicaid
MI0H22545OtherBCBS DME P&O
MI5397530003Medicare NSC