Mariam Homes INC.
Assisted Living Facility in Canton, MI. Organization (NPI-2).
NPI number1124342175
StatusActive
Last updated in NPPESMar 19, 2010
Details
- NPI
- 1124342175
- Entity type
- Organization (NPI-2)
- Legal business name
- Mariam Homes INC.
- Organization subpart
- No
- Enumeration date
- Mar 19, 2010
- Last updated
- Mar 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
42000 Koppernick RdA-7
Canton, MI 48187-4282
Phone 734-254-0092 · Fax 734-254-0180
Mailing address
42000 Koppernick RdA-7
Canton, MI 48187-4282
Fax 734-254-0180
Authorized official
Immaculata Obioma Nwachukwu
Director
7342540092
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