NPIMap

Organization Active NPI

Sacred Heart Rehabilitation Center

  • Substance Abuse Rehabilitation Facility
  • Warren, MI
National Provider Identifier
1104923580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
6801018501 Issued in MI
Legal business name
SACRED HEART REHABILITATION CENTER
Practice address
8150 E 13 Mile Rd
Ste. 100
Warren, MI 48093-8700
Phone
(586) 558-7472
Fax
(586) 558-8802
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carol A. Glidden, M.S.W.
Title
Therapist
Phone
(586) 558-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 6801018501 MI Primary

Addresses

Primary practice location

8150 E 13 Mile Rd
Ste. 100
Warren, MI 48093-8700

Mailing address

8150 E. Thirteen Mile Road
Ste. 100
Warren, MI 48093
Phone (586) 558-7472

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Rehabilitation Center Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104923580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 E. THIRTEEN MILE ROAD",
            "address_2": "STE. 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-558-7472",
            "fax_number": "586-558-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 E 13 MILE RD",
            "address_2": "STE. 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938700",
            "telephone_number": "586-558-7472",
            "fax_number": "586-558-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLIDDEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "586-558-7472",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "6801018501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.