Healthsource Saginaw Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

733010 Issued in MI

Legal business name

HEALTHSOURCE SAGINAW INC

Practice address

3340 Hospital Rd
Saginaw, MI 48603-9622

Phone

(989) 790-7700

Fax

(989) 790-9297

NPI assigned

Sep 9, 2005

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E Williams

Title

Director Patient Accounting

Phone

(989) 790-7783

Specialties & licenses 6

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI6 enrollments

Enrollment records 6

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1265426704. Details of each certification follow.

• CCN 230275 Hospital · Active · Details
• CCN 235150 Skilled nursing facility · Active · Details
• CCN 23S275 Hospital · Details
• CCN 23T275 Hospital · Details

Hospital certification: CCN 230275

Legal name

HEALTHSOURCE SAGINAW INC

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Oct 11, 1983

Last certification

Sep 11, 1986

Beds

278

Ownership / control type

Other

Organization structure

CorporationNon-profit

Incorporated

Jul 26, 1991 in MI

Enrollment address

3340 Hospital Rd
Saginaw, MI 48603-9622
Other Hospital Practice Location

Hospital subgroups

Acute care

Skilled nursing facility certification: CCN 235150

Legal name

HEALTHSOURCE SAGINAW INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 23, 1968

Last certification

Aug 12, 2024

Beds

213

Ownership / control type

County

Organization structure

CorporationNon-profit

Incorporated

Jul 26, 1991 in MI

Enrollment address

3340 Hospital Rd
Saginaw, MI 48603-9622

Nursing home name

HEALTHSOURCE SAGINAW, INC

Hospital certification: CCN 23S275

Legal name

HEALTHSOURCE SAGINAW INC

Organization structure

OtherNon-profit

Incorporated

Jul 26, 1991 in MI

Enrollment address

3340 Hospital Rd
Saginaw, MI 48603-9622
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Hospital certification: CCN 23T275

Legal name

HEALTHSOURCE SAGINAW INC

Organization structure

CorporationNon-profit

Incorporated

Jul 26, 1991 in MI

Enrollment address

3340 Hospital Rd
Saginaw, MI 48603-9622
Hospital Rehabilitation Unit

Hospital subgroups

Rehabilitation unit

Listed as

Healthsource SaginawCCN 230275 · All quality measures

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Other

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

Listed as

Healthsource SaginawCCN 23T275 · All quality measures

Ownership

Non-profit

Certified

Jan 1, 1984

Listed as

Healthsource Saginaw, IncCCN 235150 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Feb 23, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

213168.9 residents per day on average

Penalties (3 years)

4Fines totaling $208,810

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Saginaw Comm Hosp Med S9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

• Healthsource Saginaw Inc

  • Rehabilitation Hospital Unit
  • Saginaw, MI
  • NPI 1497939698
  NPD tax ID
• Healthsource Saginaw Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Saginaw, MI
  • NPI 1578745691
  NPD tax ID
• Healthsource Saginaw Inc

  • Psychiatric Hospital Unit
  • Saginaw, MI
  • NPI 1598949794
  NPD tax ID
• Healthsource Saginaw Inc

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1730361858
  NPD tax ID
• Healthsource Saginaw Inc

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1831371954
  NPD tax ID
• Healthsource Saginaw, Inc

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1184807216
  NPD tax ID
• Healthsource Saginaw, Inc

  • Psychiatric Hospital Unit
  • Saginaw, MI
  • NPI 1508009572
  NPD tax ID
• Healthsource Saginaw, Inc.

  dba Healthsource Saginaw

  • Long Term Care Pharmacy
  • Saginaw, MI
  • NPI 1790811123
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Waheed Akbar, M.D.

  • Orthopaedic Surgery Physician
  • Saginaw, MI
  • NPI 1447255971

  Corporate Director, Trustee of the SNF

  CMS ownership
• Christine I Rohr, D.O.

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1043312820

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 56

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.

• Jonathan Thomas Broadwell, MD

  • Geriatric Psychiatry Physician
  • Saginaw, MI
  • NPI 1821657099
  Medicare reassignment Care Compare group NPD
• Courtney Deuscher, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saginaw, MI
  • NPI 1780364745
  Medicare reassignment Care Compare group NPD
• Lorrie Kirsten Garces, M.D.

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1184793168
  Medicare reassignment Care Compare group NPD
• Mohammad Jafferany, MD

  • Child & Adolescent Psychiatry Physician
  • Saginaw, MI
  • NPI 1811008139
  Medicare reassignment Care Compare group NPD
• Asif Hayat Khan, M.D.

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1528324142
  Medicare reassignment Care Compare group NPD
• Lindsey Jade Lacey, RN MSN FNP-C

  • Family Nurse Practitioner
  • Saginaw, MI
  • NPI 1063178028
  Medicare reassignment Care Compare group NPD
• Imran Mir

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1467628388
  Medicare reassignment Care Compare group NPD
• Usha Rani Movva, M.D.

  • Psychiatry Physician
  • Caro, MI
  • NPI 1609989193
  Medicare reassignment Care Compare group NPD
• Sajeda Nusrat, MD

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1912993924
  Medicare reassignment Care Compare group NPD
• Kaushik Jitendra Raval, M.D.

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1801995576
  Medicare reassignment Care Compare group NPD
• Christine I Rohr, D.O.

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1043312820
  Medicare reassignment Care Compare group NPD
• Jisselly Sanchez Salcedo, MD

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1780241943
  Medicare reassignment Care Compare group NPD

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kristin Cates, FNP-C

  • Family Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1871245977

  Hospital

  Care Compare affiliation
• Daniel A Duffy, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1275568016

  Hospital

  Care Compare affiliation
• Sadia Khan, MD

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1881633048

  Nursing home

  Care Compare affiliation
• Imran Mir

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1467628388

  Hospital

  Care Compare affiliation
• Rama C Mulpuri, M.D.

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1366439697

  Hospital

  Care Compare affiliation
• Christine I Rohr, D.O.

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1043312820

  Hospital

  Care Compare affiliation
• Jared R Weir, MD

  • Orthopaedic Surgery Physician
  • Saginaw, MI
  • NPI 1346535655

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1265426704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7700",
            "fax_number": "989-790-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7700",
            "fax_number": "989-790-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE SAGINAW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "989-790-7783"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "H026/2001(2)",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": "730060",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "730034",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "733010",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "733010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302775288",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "CE4328",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622805206",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOSPITAL UNITS",
            "identifier": "00237",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405171780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "CE4324",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "CD4197",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "CE4327",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Healthsource Saginaw Inc
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• Skilled Nursing Facility in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.