Provider Demographics
NPI:1053392480
Name:RHEMA FARMINGTON INC
Entity type:Organization
Organization Name:RHEMA FARMINGTON INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ASHRAF
Authorized Official - Last Name:OAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-476-8300
Mailing Address - Street 1:21017 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5547
Mailing Address - Country:US
Mailing Address - Phone:248-476-8300
Mailing Address - Fax:248-476-2945
Practice Address - Street 1:21017 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5547
Practice Address - Country:US
Practice Address - Phone:248-476-8300
Practice Address - Fax:248-476-2945
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIENA HEALTHCARE MANAGEMENT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-11
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI634520314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4522489Medicaid
MI09749OtherBCBS OF MI
MI4522489Medicaid
MI235508Medicare ID - Type Unspecified