NPIMap

Organization Active NPI

Henr Y Ford Health System

Doing business as Henry Ford Extended Care

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1073851713
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HENR Y FORD HEALTH SYSTEM
Doing business as
Henry Ford Extended Care
Practice address
1 Ford PL Ste 4C
Detroit, MI 48202-3450
Phone
(313) 874-6583
Fax
(313) 874-6177
NPI assigned
Jan 30, 2013
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Mr. Michael S. Ellis, RN
Title
Vice President
Phone
(313) 874-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1 Ford PL Ste 4C
Detroit, MI 48202-3450

Mailing address

1 Ford PL Ste 4C
Detroit, MI 48202-3450
Phone (313) 874-6583

Other names 1

  • Henry Ford Extended Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Henry Ford Medical Center Lakeside158 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

Locations

24445 Northwestern Hwy
Ste 109
Southfield, MI 48075
Phone (248) 355-6400

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1073851713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 4C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-6583",
            "fax_number": "313-874-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 4C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-6583",
            "fax_number": "313-874-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENR Y FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "313-874-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Extended Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ford Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.