NPIMap

Organization Active NPI

McLaren Macomb

  • Rehabilitation Hospital Unit
  • Mount Clemens, MI
National Provider Identifier
1033710116
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MCLAREN MACOMB
Practice address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone
(586) 493-8000
NPI assigned
Nov 4, 2020
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Tracey Franovich
Title
Ceo
Phone
(586) 493-8037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Mailing address

1 McLaren Pkwy
Grand Blanc, MI 48439-7471
Phone (810) 342-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124000818 MI Part A Provider - Hospital 8921912791 Practice locations: Mount Clemens, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033710116. Details of each certification follow.

Hospital certification: CCN 23T227

Legal name
MCLAREN MACOMB
Organization structure
CorporationNon-profit
Enrollment address
1000 Harrington St
Mount Clemens, MI 48043-2920
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
McLaren MacombCCN 23T227 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Bryan J Mazey DO12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Timothy D Logan Individual Corporate DirectorTrustee Feb 5, 2025
Candice Miller Individual Corporate DirectorTrustee Feb 1, 2017
Robert Cannon Individual Corporate DirectorTrustee Feb 1, 2012
James George Individual Corporate DirectorTrustee Apr 1, 2002
Philip a Incarnati Individual Operational/Managerial ControlChain Home Office Administrator Jan 1, 2007
John Hunt Individual Corporate DirectorTrustee Feb 1, 2001
Tracey Franovich Individual Corporate OfficerPresident / Ceo Jun 13, 2024
Corporate DirectorPresident/Ceo Jun 13, 2024
Operational/Managerial ControlPresident / Ceo Jun 13, 2024
Albert a Przybylski Individual Corporate DirectorTrustee Sep 21, 2011
McLaren Health Care Corporation Organization, Grand Blanc, MI Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Carolyn Dorian Individual Corporate DirectorTrustee Nov 25, 2008
Ted Wahby Individual Corporate DirectorTrustee Feb 5, 2025
Rita Marie Ingersoll Individual Corporate DirectorTrustee May 22, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 58

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 58

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1033710116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MCLAREN PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397471",
            "telephone_number": "810-342-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-493-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "FRANOVICH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-493-8037"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.