Boulevard Manor L.L.C.
NPI 1063712586ActiveOrganization· Skilled Nursing Facility· Detroit, MI
Skilled Nursing Facility in Detroit, Michigan, registered in NPPES in November 2010. The authorized official on file is Fahim Uddin, Authorized Member.
Overview
| NPI | 1063712586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2010 |
| Last updated in NPPES | Apr 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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