Henry Ford Health System

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Greenfield Health Systems

Practice address

2050 Livernois Rd
Troy, MI 48083-1757

Phone

(248) 524-1270

Fax

(248) 524-0626

NPI assigned

Jul 20, 2006

Last updated

Jul 14, 2008By 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

Mr. David F Shepherd

Title

Vice President

Phone

(248) 642-5038

Specialties & licenses 1

Addresses

Other identifiers 15

Other names 1

• Greenfield Health Systems Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Greenfield HS - TroyCCN 232506

Overall star rating

1.0 of 5

Ownership

Non-profit

Certified

Sep 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Greenfield Health Systems

Dialysis stations

16

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Henry Ford Medical Center Lakeside158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Henr Y Ford Health System

  dba Henry Ford Health Hemophilia Treatment Center

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1235819285
  NPD tax ID
• Henry Ford Health System

  • Specialist
  • Grosse Pointe Park, MI
  • NPI 1174725659
  NPD tax ID
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1174832216
  NPD tax ID
• Henry Ford Health System

  • Neurological Surgery Physician
  • Detroit, MI
  • NPI 1184708406
  NPD tax ID
• Henry Ford Health System

  • Gastroenterology Physician
  • Detroit, MI
  • NPI 1205909892
  NPD tax ID
• Henry Ford Health System

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1245300078
  NPD tax ID
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1245440759
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Kingswood Hospital

  • Psychiatric Hospital Unit
  • Detroit, MI
  • NPI 1255748307
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford West Bloomfield Hospital

  • Infusion Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1255858312
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Saint Clair Shores, MI
  • NPI 1265526669
  NPD tax ID
• Henry Ford Health System

  dba Maplegrove Center

  • Clinical Social Worker
  • W Bloomfield, MI
  • NPI 1275744203
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford West Bloomfield Hospital

  • General Acute Care Hospital
  • West Bloomfield, MI
  • NPI 1285868273
  NPD tax ID

Locations

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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.

• Holley Lee Holloway, RD

  • Renal Nutrition Registered Dietitian
  • Troy, MI
  • NPI 1144705195
  NPD (past)

Affiliated clinicians 2

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

• Vamshi Krishna Garlapaty, M.D

  • Nephrology Physician
  • Royal Oak, MI
  • NPI 1922052513

  Dialysis facility

  Care Compare affiliation Name & address match
• Niama Huda, M.D

  • Nephrology Physician
  • Detroit, MI
  • NPI 1710145586

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1285654673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-723-0224",
            "fax_number": "248-642-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831757",
            "telephone_number": "248-524-1270",
            "fax_number": "248-524-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-642-5038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS PRIMAR",
            "identifier": "08915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS SECOND",
            "identifier": "09403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "123051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M CARE",
            "identifier": "14645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P08915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SECONDARY",
            "identifier": "09403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS",
            "identifier": "102251 0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE",
            "identifier": "123051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATLAKES",
            "identifier": "43430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2610537",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE",
            "identifier": "4808E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ULTI MED",
            "identifier": "501076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "232505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRIMARY",
            "identifier": "08915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8463770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenna Nicole Hendler
• Debra Gayle Hendren, LICENSED BACHELOR'S
• Henry Ford Behavioral Health- Troy Medical Center (Henry Ford Health System)
• Henry Ford Behaviorl Health- Troy Medical Center
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Health System (Henry Ford - CSI Pharmacy)
• Henry Ford Hospital
• Janeane Monet Herard, LLMSW
• Herbert J. Roth Jr. MD PC
• Heritage Home Hospice, LLC (Crossbridge Hospice)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Troy, MI
• Providers in Troy, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.