NPIMap

Organization Active NPI

Regents of the University of Michigan

  • Home Health Agency
  • Ann Arbor, MI
National Provider Identifier
1063465607
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice address
2850 S Industrial Hwy
Ste 75
Ann Arbor, MI 48104-6796
Phone
(800) 842-5504
NPI assigned
May 17, 2006
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
David Christopher MillerNPI 1629092713
Title
President
Phone
(734) 936-3568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2850 S Industrial Hwy
Ste 75
Ann Arbor, MI 48104-6796

Mailing address

3621 S State St
Provider Enrollment
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other identifiers 2

IdentifierTypeStateIssuer
0E116OtherMIBLUE CROSS
155173954MedicaidMI

Other names 1

  • UMHS Michigan Visiting Nurses Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000578 MI Part A Provider - Home Health Agency 3779496856 Practice locations: Ann Arbor, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063465607. Details of each certification follow.

Home health agency certification: CCN 237011

Legal name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Doing business as
UNIVERSITY OF MICHIGAN HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jul 14, 2005
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
2850 S Industrial Hwy
Ste 75
Ann Arbor, MI 48104-6796

Care Compare: Home health agency

Medicare Care Compare
Listed as
University of Michigan HealthCCN 237011 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Chelsea Internal Medici157 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Eric J Strucko Individual Corporate OfficerCfo Apr 1, 2023
W-2 Managing EmployeeCfo Apr 1, 2023
Marianne Udow-Phillips Individual Corporate Director Mar 3, 2017
Marschall S Runge Individual Corporate OfficerCeo Mar 21, 2015
Corporate DirectorBoard Member Mar 21, 2015
W-2 Managing EmployeeCeo Mar 21, 2015
David C Miller Individual Corporate OfficerPresident, Board Member Jan 1, 2021
Corporate DirectorPresident, Board Member Jan 1, 2021
W-2 Managing EmployeePresident, Board Member Jan 1, 2021
Michael Johns Individual Corporate Director Mar 3, 2017
Michelle Kaikkonen Individual W-2 Managing EmployeeManager, Provider Enrollment Mar 7, 2022
Robert J Sheehy Individual Corporate DirectorBoard Member Mar 3, 2017
Tiffany L Ford Individual Corporate DirectorBoard Member Apr 1, 2023
Patricia Hurn Individual Corporate Director Mar 3, 2017
Mark Edward Prince Individual Corporate DirectorBoard Member Mar 1, 2021
W-2 Managing EmployeeDept Chair Mar 1, 2021
J Fabiana Fabiana Johnson Individual W-2 Managing EmployeeDirector Aug 22, 2018
Kedrick D Adkins Individual Corporate Director Jan 24, 2018
Domenico Grasso Individual Corporate DirectorBoard Member, President of U of M May 8, 2025
Geoffrey Chatas Individual Corporate DirectorBoard Member Oct 1, 2021
Peter J McCanna Individual Corporate DirectorBoard Member May 1, 2023
Fionnuala Walsh Individual Corporate Director Jan 24, 2018
Dee Ellen Fenner Individual Corporate DirectorBoard Member, Dept Chair Feb 29, 2020
W-2 Managing EmployeeBoard Member, Dept Chair Feb 29, 2020

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 17

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

FacilityTypeRoleSince
University of Michigan Health-Sparrow EatonCharlotte, MI, CCN 231327 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health - WestWyoming, MI, CCN 230236 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 15, 2016
University of Michigan Health-Sparrow LansingLansing, MI, CCN 230230 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 231331 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-SparrowLansing, MI, CCN 23T230 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2024
University of Michigan Health-SparrowCarson City, MI, CCN 230208 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
Chelsea HospitalChelsea, MI, CCN 230259 Hospital 5% Or Greater Direct Ownership Interest (49%) Jul 1, 2018
Chelsea HospitalChelsea, MI, CCN 23T259 Hospital 5% Or Greater Direct Ownership Interest (49%) Jul 1, 2018
University of Michigan Health-SparrowSaint Johns, MI, CCN 23Z326 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow CarsonCarson City, MI, CCN 23U208 Hospital 5% Or Greater Indirect Ownership Interest (100%) Mar 1, 2025
University of Michigan Health-SparrowLansing, MI, CCN 231519 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 238550 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-SparrowGreenville, MI, CCN 233996 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow Ithaca Primary CareIthaca, MI, CCN 238517 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-SparrowStanton, MI, CCN 238574 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow Portland Primary CarePortland, MI, CCN 238631 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow Saranac Primary CareSaranac, MI, CCN 238698 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023

Practitioners & affiliated clinicians

Practitioners 4

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 12

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1063465607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S INDUSTRIAL HWY",
            "address_2": "STE 75",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046796",
            "telephone_number": "800-842-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-936-3568"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0E116",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155173954",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMHS Michigan Visiting Nurses",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.