Provider Demographics
NPI:1962238360
Name:ROSEBUSH INTERFAITH RETIREMENT COMMUNITY
Entity type:Organization
Organization Name:ROSEBUSH INTERFAITH RETIREMENT COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHILANTHROPY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AVNI
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-281-2044
Mailing Address - Street 1:25200 TELEGRAPH RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-7496
Mailing Address - Country:US
Mailing Address - Phone:248-281-2044
Mailing Address - Fax:
Practice Address - Street 1:4210 E ROSEBUSH RD
Practice Address - Street 2:
Practice Address - City:ROSEBUSH
Practice Address - State:MI
Practice Address - Zip Code:48878-8751
Practice Address - Country:US
Practice Address - Phone:989-433-0150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE VILLAGE OF REDFORD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-11
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home