NPIMap

Organization Active NPI

Henry Ford Maplegrove Center

Doing business as Henry Ford Health System

  • Children's Substance Abuse Rehabilitation Facility
  • West Bloomfield, MI
National Provider Identifier
1295767630
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
HENRY FORD MAPLEGROVE CENTER
Doing business as
Henry Ford Health System
Practice address
6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone
(248) 661-6100
Fax
(248) 661-7347
NPI assigned
Jul 7, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Robin Damschroder
Title
Evp, Chief Finance
Phone
(248) 648-7204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MI
Children's Substance Abuse Rehabilitation Facility 3245S0500X MI Primary

Addresses

Primary practice location

6773 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100

Other names 2

  • Henry Ford Health System Doing business as
  • Henry Ford HealthSystem Other name

National Provider Directory

National Provider Directory
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.

View all 24

Practitioners & affiliated clinicians

Practitioners 1,129

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.

View all 1,129

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1295767630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6773 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-6100",
            "fax_number": "248-661-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6773 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-6100",
            "fax_number": "248-661-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD MAPLEGROVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "DAMSCHRODER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCE",
        "authorized_official_telephone_number": "248-648-7204"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ford HealthSystem",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Henry Ford HealthSystem",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.