Active NPI
Evangelical Homes of Michigan
- Clinic/Center
- Saline, MI
National Provider Identifier
1225523715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVANGELICAL HOMES OF MICHIGAN
- Doing business as
- The Redies Outpatient Center
- Practice address
- 400 W Russell St
Saline, MI 48176-1183 - Phone
- (734) 295-9292
- NPI assigned
- Jun 27, 2018
- Organization subpart
- Yes
- Parent organization
- EVANGELICAL HOMES OF MICHIGAN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Olah
- Title
- Governance/Business Office Manager
- Phone
- (248) 871-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
400 W Russell St
Saline, MI 48176-1183
Mailing address
400 W Russell St
Saline, MI 48176-1183
Phone (734) 295-9292
Other names 1
- The Redies Outpatient Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Outpatient physical therapy / speech pathology certification: CCN 236888
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- THE REDIES OUTPATIENT CENTER
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Aug 2, 2019
- Last certification
- Aug 2, 2019
- Ownership / control type
- Voluntary Non-Profit Church
- Facility address
- 400 W Russell St
Saline, MI 48176
National Provider Directory
National Provider Directory- Part of
- Evangelical Homes of Michigan
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530057600000",
"number": "1225523715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W RUSSELL ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761183",
"telephone_number": "734-295-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W RUSSELL ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761183",
"telephone_number": "734-295-9292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANGELICAL HOMES OF MICHIGAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EVANGELICAL HOMES OF MICHIGAN",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A",
"authorized_official_last_name": "OLAH",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "GOVERNANCE/BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "248-871-5001"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Redies Outpatient Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Redies Outpatient Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.