NPIMap

Organization Active NPI

William Beaumont Hospital

  • Home Infusion Agency
  • Royal Oak, MI
National Provider Identifier
1093744153
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
WILLIAM BEAUMONT HOSPITAL
Practice address
31157 Woodward Ave Ste 101
Royal Oak, MI 48073-0996
Phone
(947) 523-4900
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer,
Phone
(616) 486-5246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary

Addresses

Primary practice location

31157 Woodward Ave Ste 101
Royal Oak, MI 48073-0996

Mailing address

26901 Beaumont Blvd BLDG D6
Southfield, MI 48033-3849
Phone (947) 522-1963

Other identifiers 3

IdentifierTypeStateIssuer
540F30028OtherMIBCBS PROVIDER ID#
3113106MedicaidMI
3113090MedicaidMI

Other names 2

  • Beaumont Home Infusion Doing business as
  • Corewell Health Home Infusion Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.beaumont.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930020408 MI DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 9335051093 Practice locations: Royal Oak, MI

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
William Beauont Hospital118 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

36555 26 Mile Rd
Ste 1100
Lenox, MI 48048
Phone (947) 523-4010

31157 Woodward Ave
Ste 101
Royal Oak, MI 48073
Phone (248) 743-6500

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Beaumont Home HealthTroy, MI, CCN 237112 Home health agency 5% Or Greater Indirect Ownership Interest (10%) Jan 1, 2019
Beaumont HospiceTroy, MI, CCN 231574 Hospice 5% Or Greater Indirect Ownership Interest (10%) Jan 1, 2019

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1093744153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD BLDG D6",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31157 WOODWARD AVE STE 101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730996",
            "telephone_number": "947-523-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER,",
        "authorized_official_telephone_number": "616-486-5246"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "540F30028",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113106",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113090",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "31157 Woodward Ave Ste 101",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480730996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.