NPIMap

Organization Active NPI

Oakwood Healthcare, Inc.

Doing business as Beaumont Hospital - Wayne

  • General Acute Care Hospital
  • Wayne, MI
National Provider Identifier
1295785285
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
820010 Issued in MI
Legal business name
OAKWOOD HEALTHCARE, INC.
Doing business as
Beaumont Hospital - Wayne
Corewell Health Wayne Hospital
Practice address
33155 Annapolis St
Wayne, MI 48184-2405
Phone
(734) 467-4000
Fax
(734) 467-4017
NPI assigned
May 11, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer
Phone
(947) 522-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 820010 MI Primary

Addresses

Primary practice location

33155 Annapolis St
Wayne, MI 48184-2405

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963

Other names 2

  • Beaumont Hospital - Wayne Doing business as
  • Corewell Health Wayne Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105001079 MI Part A Provider - Hospital 1254236839 Practice locations: Canton, MI; Wayne, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295785285. Details of each certification follow.

Hospital certification: CCN 230142

Legal name
OAKWOOD HEALTHCARE INC
Doing business as
COREWELL HEALTH WAYNE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 22, 2017
Beds
259
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 1997 (5 total)
Organization structure
CorporationNon-profit
Enrollment address
33155 Annapolis St
Wayne, MI 48184-2405
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Corewell Health Wayne HospitalCCN 230142 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0897863Corewell Health Wayne Hospital Laboratory33155 Annapolis Avenue, Wayne, MI 48184AccreditationJun 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Oakwood Hospital Corp28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

14514 Ramona Blvd
Ste 3
Baldwin Park, CA 91706
Phone (626) 337-0424

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Whitney Eckhoff Individual W-2 Managing EmployeeManager,, Provider Enrollment Oct 1, 2023
Robert Skandalaris Individual Corporate DirectorBoard Member Jan 1, 2025
Barbara J Pilarski Individual Corporate DirectorBoard Member Jan 1, 2024
Marija J Grahovac Individual Corporate DirectorBoard Member Jan 1, 2025
Chad M Tuttle Individual Corporate DirectorBoard Member Jan 1, 2026
Operational/Managerial ControlChief Operating Officer, CH May 1, 2025 100%
Mary Kosch Individual Corporate DirectorBoard Member Jan 1, 2026
Mona Makki Individual Corporate DirectorBoard Member Jan 1, 2023
Beaumont Health Organization, Southfield, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Operational/Managerial Control Sep 1, 2014 100%
Matthew E Cox Individual Corporate OfficerChief Financial Officer, CH Feb 1, 2022 100%
Corewell Health Organization, Grand Rapids, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Kristine Donahue Individual Operational/Managerial ControlPresident Jul 28, 2022 100%
Lamont Yoder Individual Corporate DirectorPresident, Corewell Health East May 1, 2025 100%
Operational/Managerial ControlPresident, Corewell Health East May 1, 2025 100%
Robert James Welsh Individual Corporate DirectorBoard Member Jan 1, 2021
Warren E Rose Individual Corporate DirectorBoard Member Jan 1, 2022
Mark D Davidoff Individual Corporate DirectorBoard Member Jan 1, 2026
Nicholas P Gates Individual Corporate DirectorBoard Member Jan 1, 2026
Faye a Nelson Individual Corporate DirectorBoard Member Jun 16, 2022
Shane O'Donnell Individual Corporate DirectorBoard Member Jan 1, 2024
Anthony Stallion Individual Corporate DirectorBoard Member Feb 1, 2022
Linda Little Individual Corporate DirectorBoard Member Jun 16, 2022

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Vibra Hospital of Southeastern Michigan - Taylor CampusTaylor, MI, CCN 232019 Hospital 5% Or Greater Direct Ownership Interest Apr 16, 2019
Corewell Health Rehabilitation & Nursing Center-Commons DearbornDearborn, MI, CCN 235502 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 24, 1985
Jan 24, 1985

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 67

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 67

Practitioners & affiliated clinicians

Practitioners 63

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 63

Affiliated clinicians 513

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

View all 513

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1295785285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405",
            "telephone_number": "734-467-4000",
            "fax_number": "734-467-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "947-522-3333"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "820010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "33155 Annapolis St",
            "city": "Wayne",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481842405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Hospital - Wayne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Wayne Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.