NPIMap

Organization Active NPI

Henry Ford Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eastpointe, MI
National Provider Identifier
1093735482
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HENRY FORD HEALTH SYSTEM
Practice address
21400 Kelly Rd
Eastpointe, MI 48021-3216
Phone
(586) 779-8779
Fax
(586) 779-8153
NPI assigned
Jul 20, 2006
Organization subpart
No

Affiliated clinicians 3

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Greenfield HS - EastpointeCCN 232567
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
May 26, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Greenfield Health Systems
Dialysis stations
24

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000691 MI Part A Provider - End-Stage Renal Disease Facility (ESRD) 0547178311 Practice locations: Eastpointe, MI

All facility ownership & control disclosures 26

Medicare enrollment files

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

FacilityTypeRoleSince
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 23T197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 230019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23S019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23T019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 230197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 230165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Warren HospitalWarren, MI, CCN 230195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Madison Heights HospitalWarren, MI, CCN 23T195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Heights Madison Heights HospitalWarren, MI, CCN 23S195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Macomb HospitalClinton Township, MI, CCN 230047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Henry Ford Macomb HospitalClinton Township, MI, CCN 23T047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23S165 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Wyandotte Hospital and Medical CenterWyandotte, MI, CCN 230146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23T146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23S146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Rochester HospitalRochester, MI, CCN 230254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23S254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23T254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Jackson HospitalJackson, MI, CCN 230092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Jackson HospitalJackson, MI, CCN 23S092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Brighton Center for RecoveryBrighton, MI, CCN 230279 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health River District HospitalEast China, MI, CCN 230241 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23T165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Behavioral Health HospitalWest Bloomfield, MI, CCN 234011 Hospital 5% Or Greater Direct Ownership Interest (17.4%)
General Partnership Interest (17.4%)		 Feb 23, 2025
Feb 23, 2025
Henry Ford Health Jackson HospitalJackson, MI, CCN 237405 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Allegiance HospiceJackson, MI, CCN 231523 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Henry for Hospital158 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

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. David F Shepherd
Title
Vice President
Phone
(248) 642-5038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

21400 Kelly Rd
Eastpointe, MI 48021-3216

Mailing address

30100 Telegraph Rd
Suite 200
Bingham Farms, MI 48025-4514
Phone (248) 723-0224

Other identifiers 16

IdentifierTypeStateIssuer
232505OtherHAP
3523427MedicaidMI
501076OtherULTI MED
8463770OtherAETNA
08979OtherFEDERAL BLUE CROSS PRIMAR
09495OtherFEDERAL BLUE CROSS SECOND
102251 0001OtherWELLNESS
123051OtherPREFERRED CHOICE
43430OtherGREATLAKES
09495OtherBLUE CROSS SECONDARY
232505OtherPREFERRED HEALTH PLAN
4808EOtherCAPE
P08979OtherBLUE CARE NETWORK
08979OtherBLUE CROSS PRIMARY
123051OtherCARE CHOICES
14300OtherM CARE

Other names 1

  • Greenfield Health Systems Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1093735482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-723-0224",
            "fax_number": "248-642-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213216",
            "telephone_number": "586-779-8779",
            "fax_number": "586-779-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-642-5038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "232505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3523427",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ULTI MED",
            "identifier": "501076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8463770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS PRIMAR",
            "identifier": "08979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS SECOND",
            "identifier": "09495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS",
            "identifier": "102251 0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE",
            "identifier": "123051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATLAKES",
            "identifier": "43430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SECONDARY",
            "identifier": "09495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLAN",
            "identifier": "232505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE",
            "identifier": "4808E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P08979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRIMARY",
            "identifier": "08979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "123051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M CARE",
            "identifier": "14300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.