NPIMap

Organization Active NPI

St Mary Mercy Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Livonia, MI
National Provider Identifier
1235261124
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
822312 Issued in MI
Legal business name
ST MARY MERCY HOSPITAL
Practice address
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone
(734) 655-4800
Fax
(734) 655-1274
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
David Spivey
Title
Preesident & Ceo
Phone
(734) 655-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 822312 MI Primary

Addresses

Primary practice location

36475 5 Mile Rd
Livonia, MI 48154-1971

Mailing address

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800

Other identifiers 1

IdentifierTypeStateIssuer
20243OtherMIBLUE CROSS SUBSTANCE ABUS

National Provider Directory

National Provider Directory
Tax ID family
St Mary Mercy Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1235261124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800",
            "fax_number": "734-655-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800",
            "fax_number": "734-655-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PREESIDENT & CEO",
        "authorized_official_telephone_number": "734-655-1611"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "822312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SUBSTANCE ABUS",
            "identifier": "20243",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.