NPIMap

Organization Active NPI

St Mary Mercy Hospital

Doing business as Trinity Health Livonia Hospital

  • Health Educator
  • Livonia, MI
National Provider Identifier
1013649557
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
ST MARY MERCY HOSPITAL
Doing business as
Trinity Health Livonia Hospital
Practice address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone
(734) 655-4800
NPI assigned
Jun 24, 2022
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ariana Grace Raymond
Title
Manager, Entity Provider Enrollment
Phone
(734) 343-1466

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Registered Nurse 163W00000X NU
Community Health Worker 172V00000X NU
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Mailing address

20555 Victor Pkwy
Mailstop 3a
Livonia, MI 48152-7031
Phone (734) 343-3925

Other practice location 1

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 655-8955

Other practice location 2

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000

Other practice location 3

775 S Main St
Chelsea, MI 48118-1383
Phone (734) 593-6000

Other practice location 4

14800 E Old US Highway 12
Chelsea, MI 48118-2110
Phone (734) 214-0220

Other practice location 5

12121 Hemingway
Redford, MI 48239-2534
Phone (734) 655-8955

Other practice location 6

7720 Ann Arbor St
Dexter, MI 48130-1335
Phone (734) 426-7737

Other practice location 7

15145 Beech Daly Rd
Redford, MI 48239-3201
Phone (734) 655-8955

Other practice location 8

7372 Grand River Rd
Brighton, MI 48114-9348
Phone (734) 655-8955

Other practice location 9

19321 W Chicago St Ste 105
Detroit, MI 48228-1739
Phone (734) 655-8955

Other practice location 10

2810 Baker Rd
Dexter, MI 48130-1114
Phone (734) 655-8955

Other practice location 11

7575 Grand River Rd
Brighton, MI 48114-9309
Phone (734) 655-8955

Other names 1

  • Trinity Health Livonia Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825003350 MI MDPP Supplier - in-Person MDPP Supplier 2163323585 Practice locations: Dexter, MI; Ypsilanti, MI; Redford, MI; Pontiac, MI; Livonia, MI; Detroit, MI; Chelsea, MI; Brighton, MI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0368133Trinity Health Livonia Hospital36475 W Five Mile Rd, Livonia, MI 48154AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Mary Mercy Hosp10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7372 Grand River Rd
Brighton, MI 48114
Phone (734) 655-8955

19321 W Chicago St
Ste 105
Detroit, MI 48228
Phone (734) 655-8955

2810 Baker Rd
Dexter, MI 48130
Phone (734) 655-8955

7720 Ann Arbor St
Dexter, MI 48130
Phone (734) 426-7737

13245 Newburgh Rd
Livonia, MI 48150
Phone (734) 655-8240

14600 Farmington Rd
Ste 101
Livonia, MI 48154
Phone (734) 522-2909

15100 Hubbard St
Livonia, MI 48154
Phone (313) 745-9741

19000 St Joes Pkwy
Ste 110
Livonia, MI 48152
Phone (734) 743-4640

19000 St Joes Pkwy
Ste 180
Livonia, MI 48152
Phone (734) 743-4602

19000 St Joes Pkwy
Ste 190
Livonia, MI 48152
Phone (734) 743-4601

1200 Woodland Dr
Saline, MI 48176
Phone (734) 655-8240

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1013649557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20555 VICTOR PKWY",
            "address_2": "MAILSTOP 3A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527031",
            "telephone_number": "734-343-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Huron River Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971051",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44405 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483415023",
            "country_code": "US",
            "telephone_number": "248-858-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181383",
            "country_code": "US",
            "telephone_number": "734-593-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14800 E OLD US HIGHWAY 12",
            "address_purpose": "LOCATION",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182110",
            "country_code": "US",
            "telephone_number": "734-214-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12121 Hemingway",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482392534",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7720 ANN ARBOR ST",
            "address_purpose": "LOCATION",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301335",
            "country_code": "US",
            "telephone_number": "734-426-7737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15145 Beech Daly Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393201",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7372 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149348",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19321 W Chicago St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482281739",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Baker Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MI",
            "postal_code": "481301114",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149309",
            "country_code": "US",
            "telephone_number": "734-655-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST MARY MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER, ENTITY PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "734-343-1466"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Health Livonia Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Livonia Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.