NPIMap

Organization Active NPI

Prime Healthcare Services - Garden City LLC

  • General Acute Care Hospital
  • Garden City, MI
National Provider Identifier
1043625940
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Practice address
6245 Inkster Rd
Garden City, MI 48135-4001
Phone
(734) 422-0273
NPI assigned
Jun 30, 2014
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Gina S Butcher
Title
Regional Cfo
Phone
(734) 458-4692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

6245 Inkster Rd
Garden City, MI 48135-4001

Mailing address

3300 E Guasti Rd
3Rd Floor
Ontario, CA 91761-8655
Phone (734) 458-4602

Other identifiers 1

IdentifierTypeStateIssuer
00006OtherMIBCBS OF MICHIGAN

Other names 1

  • Garden City Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140806000880 MI Part A Provider - Hospital 6800013459 Practice locations: Garden City, MI; Westland, MI
O20141120001843 MI Part B Supplier - Clinic/Group Practice 6800013459 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Garden City, MI

Hospital certification: CCN 230244

Legal name
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Doing business as
GARDEN CITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 6, 2013
Beds
323
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2014 (1 total)
Organization structure
LLCProprietary
Enrollment address
6245 Inkster Rd
Garden City, MI 48135-4001
Main/Primary Hospital Location
Hospital subgroups
Acute care

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).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Garden City HospitalCCN 230244
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Christopher Fulks Individual Corporate OfficerChief Financial Officer Feb 1, 2021
Prime Healthcare Services, Inc Organization, Ontario, CA For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Steven Aleman Individual Corporate OfficerCorporate Chief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Mar 3, 2015
Alicia Garcia Vazquez Individual Corporate OfficerCbo Director Oct 21, 2001
W-2 Managing EmployeeCbo Director Oct 21, 2001
Prime Healthcare Holdings Inc Organization, Ontario, CA For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
United Home Health Services Inc.Garden City, MI, CCN 237144 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2014
Jul 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 77

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

View all 77

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

Affiliated clinicians 198

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

View all 198

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1043625940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E GUASTI RD",
            "address_2": "3RD FLOOR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618655",
            "telephone_number": "734-458-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-422-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - GARDEN CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE HOLDINGS INC",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "734-458-4692"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "00006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garden City Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.