OrganizationActive
Boulevard Manor L.L.C.
NPI 1063712586 · Skilled Nursing Facility · Detroit, MI
Boulevard Manor L.L.C. is a Skilled Nursing Facility organization in Detroit, MI (NPI 1063712586).
Provider details
- NPI number
- 1063712586
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Fahim Uddin, Authorized Member(313) 579-2255
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
464 E Grand Blvd
Detroit, MI 48207-3637
Phone: (313) 579-2255
Fax: (313) 579-5756
Street-level locationGet directions
Mailing address
2920 Oakwood Blvd
Melvindale, MI 48122-1244
Registry dates
- Enumerated
- 2010-11-01
- Last updated
- 2011-04-20
Frequently asked questions
- What is Boulevard Manor L.L.C.'s NPI number?
- Boulevard Manor L.L.C.'s National Provider Identifier (NPI) is 1063712586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulevard Manor L.L.C.?
- Boulevard Manor L.L.C. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Boulevard Manor L.L.C. located?
- Boulevard Manor L.L.C.'s practice location on file with NPPES is 464 E Grand Blvd, Detroit, MI 48207-3637.
- What is Boulevard Manor L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Boulevard Manor L.L.C. is (313) 579-2255.
- Who is the authorized official for Boulevard Manor L.L.C.?
- The authorized official listed on Boulevard Manor L.L.C.'s NPPES record is Fahim Uddin, Authorized Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulevard Manor L.L.C.'s NPI active?
- Yes — Boulevard Manor L.L.C.'s NPI (1063712586) is active in the NPPES registry as of the last update on 2011-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.