Organization Active NPI

Mercy Rehabilitation Corp

  • Rehabilitation Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1083811210
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
5501006695 Issued in MI
Legal business name
MERCY REHABILITATION CORP
Practice address
34580 Dequindre Street
Sterling Heights, MI 48310
Phone
(313) 406-5678
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mr. Nasser Kassem Alkhalil, RPTNPI 1275730608
Title
Presedent
Phone
(586) 214-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 5501006695 MI Primary

Addresses

Primary practice location

34580 Dequindre Street
Sterling Heights, MI 48310

Mailing address

34580 Dequindre Street
Sterling Heights, MI 48310
Phone (586) 214-4357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000288 MI Part B Supplier - Clinic/Group Practice 1052405610 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

18211 W 12 Mile Rd
Ste 200
Lathrup Village, MI 48076
Phone (586) 214-4357

20240 W 12 Mile Rd
Ste 1
Southfield, MI 48076
Phone (248) 331-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1083811210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34580 DEQUINDRE STREET",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-214-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34580 DEQUINDRE STREET",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "313-406-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "ALKHALIL",
        "authorized_official_first_name": "NASSER",
        "authorized_official_middle_name": "KASSEM",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "586-214-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": "5501006695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.