Provider Demographics
NPI:1699926022
Name:IHM SENIOR LIVING COMMUNITY, INC.
Entity type:Organization
Organization Name:IHM SENIOR LIVING COMMUNITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-240-9747
Mailing Address - Street 1:610 W ELM AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-7909
Mailing Address - Country:US
Mailing Address - Phone:734-241-3660
Mailing Address - Fax:734-240-9781
Practice Address - Street 1:610 W ELM AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162
Practice Address - Country:US
Practice Address - Phone:734-241-3660
Practice Address - Fax:734-240-9781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI235648Medicare Oscar/Certification