OrganizationActive
Warren Mi Opco LLC
NPI 1558033175 · Skilled Nursing Facility · Warren, MI
Provider details
- NPI number
- 1558033175
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rob Korn, Manager(718) 838-1501
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
12250 E 12 Mile Rd
Warren, MI 48093-3516
Phone: (718) 838-1501
Street-level locationGet directions
Mailing address
362 E Kennedy Blvd
Lakewood, NJ 08701-1434
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.