NPIMap

Organization Active NPI

Saint Joseph Livingston Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Brighton, MI
National Provider Identifier
1174721740
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
470079 Issued in MI
Legal business name
SAINT JOSEPH LIVINGSTON HOSPITAL
Practice address
2300 Genoa Business Park Dr Ste 180
Brighton, MI 48114-7374
Phone
(734) 786-2300
NPI assigned
Jul 5, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Michael Paul Gusho
Title
Regional Cfo
Phone
(231) 672-3886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 470079 MI Primary

Addresses

Primary practice location

2300 Genoa Business Park Dr Ste 180
Brighton, MI 48114-7374

Mailing address

620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6000

Other identifiers 1

IdentifierTypeStateIssuer
20210OtherMIBLUE CROSS OP SUB ABUSE

Other names 1

  • Trinity Health - Michigan Other name

National Provider Directory

National Provider Directory
Tax ID family
Saint Joseph Mercy Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1174721740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GENOA BUSINESS PARK DR STE 180",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147374",
            "telephone_number": "734-786-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH LIVINGSTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "231-672-3886"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "470079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OP SUB ABUSE",
            "identifier": "20210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health - Michigan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Trinity Health - Michigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.