# LUTHERAN HOMES OF MICHIGAN, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN HOMES OF MICHIGAN, INC
- **Other names:** Lutheran Home-Livonia
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932103678
- **Legal business name:** LUTHERAN HOMES OF MICHIGAN, INC
- **Authorized official:** MR. MICHAEL G CORBY (CONTROLLER)
- **Authorized official phone:** (989) 652-3470

## Contact information

- **Practice address:** 28910 PLYMOUTH RD, LIVONIA, MI 48150-2337
- **Practice address phone:** (734) 425-4814
- **Practice address fax:** (734) 425-6024
- **Mailing address:** 9710 JUNCTION RD, P.O. BOX 329, FRANKENMUTH, MI 48734-0329
- **Mailing address phone:** (989) 652-3470
- **Mailing address fax:** (989) 652-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824200 | MI | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 09/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4076769 | — | MI |
| 01 | — | S 9505 | BCBS INS. PROVIDER \# | MI |