Oakwood Healthcare, Inc.
Organization Active NPI General Acute Care Hospital · Wayne, MI
NPI 1295785285 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1295785285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 820010 (MI)
- Legal business name
- OAKWOOD HEALTHCARE, INC.
- Practice address
- 33155 Annapolis St
Wayne, MI 48184-2405 - Phone
- (734) 467-4000
- Fax
- (734) 467-4017
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew E Cox
- Title
- Chief Financial Officer
- Phone
- (947) 522-3333
Owners & managing parties with NPI records 2
-
Marija Jamie Grahovac, M.D.
-
Anthony Stallion, M.D.
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 27
Facilities with the same owner 67
Practitioners 63
-
Ahmad M Ahmad, MD
-
Ghazala Azam Ahmed, M.D.
-
Wafa Algahmi, MD
-
Halima Ali, MD
-
Naiff Ali, M.D.
-
Amine Pierre Amine, M.D
-
Hasan Arrat, M.D
-
Carol Baker, MD
-
Sasi B Boppana, M.D.
-
Ayman Daoud, MD
-
Michelle Diebold, MD
-
Rita P Eckenrode, MD
-
Wafa Elhassan, MD
-
Sidra Shah Elia, M.D.
-
Srinivas Rao Gatla, M.D
-
Ann R Gillett-Elrington, M.D.
-
Richard Hammoud, MD
-
Ali H. Jaber, M.D.
-
Nadarajan Janakan, M.D.
-
Talal Taher Khader, M.D
-
Huma Khan, MD
-
Arash Kiarash, M.D., M.S.
Affiliated clinicians 513
-
Leila Abbas, NP
-
Basil Omar Abdo, MD
-
Mariam Abdulghani, M.D
-
Ameen Abdulmalik, M.D
-
Mamdouh Abdulrazzak, M.D.
-
Kathleen Abenes, MD
-
Bernard Angello Acho, M.D.
-
Nazia Sadaf Adil, MD
-
Faisal Imtiaz Ahmad, M.D.
-
Omar Imtiaz Ahmad, M.D.
-
Muzammil M Ahmed, M.D.
-
Rubina Ahmed, M.D.
-
Usman Ahmed, M.D.
-
Samih Mike Ajami, D.O.
-
Nouha Alammar, D.O
-
Lubna Alattia, MD
Medicare Care Compare: Hospital
- Listed as
- Corewell Health Wayne Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0897863 | Corewell Health Wayne Hospital Laboratory | Accreditation | Jun 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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
- Corporation · Non-profit
- Enrollment address
- 33155 Annapolis St
Wayne, MI 48184-2405 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Whitney Eckhoff |
W-2 Managing Employee |
Oct 1, 2023 | |
| Robert Skandalaris |
Corporate Director |
Jan 1, 2025 | |
| Barbara J Pilarski |
Corporate Director |
Jan 1, 2024 | |
| Marija J Grahovac |
Corporate Director |
Jan 1, 2025 | |
| Chad M Tuttle |
Corporate Director |
Jan 1, 2026 | |
| Operational/Managerial Control |
May 1, 2025 | 100% | |
| Mary Kosch |
Corporate Director |
Jan 1, 2026 | |
| Mona Makki |
Corporate Director |
Jan 1, 2023 | |
| Beaumont Health |
5% Or Greater Direct Ownership Interest | Sep 1, 2014 | 100% |
| Operational/Managerial Control | Sep 1, 2014 | 100% | |
| Matthew E Cox |
Corporate Officer |
Feb 1, 2022 | 100% |
| Corewell Health |
5% Or Greater Indirect Ownership Interest | Feb 1, 2022 | 100% |
| Kristine Donahue |
Operational/Managerial Control |
Jul 28, 2022 | 100% |
| Lamont Yoder |
Corporate Director |
May 1, 2025 | 100% |
| Operational/Managerial Control |
May 1, 2025 | 100% | |
| Robert James Welsh |
Corporate Director |
Jan 1, 2021 | |
| Warren E Rose |
Corporate Director |
Jan 1, 2022 | |
| Mark D Davidoff |
Corporate Director |
Jan 1, 2026 | |
| Nicholas P Gates |
Corporate Director |
Jan 1, 2026 | |
| Faye a Nelson |
Corporate Director |
Jun 16, 2022 | |
| Shane O'Donnell |
Corporate Director |
Jan 1, 2024 | |
| Anthony Stallion |
Corporate Director |
Feb 1, 2022 | |
| Linda Little |
Corporate Director |
Jun 16, 2022 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Vibra Hospital of Southeastern Michigan - Taylor Campus |
Hospital | 5% Or Greater Direct Ownership Interest | Apr 16, 2019 |
| Corewell Health Rehabilitation & Nursing Center-Commons Dearborn |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 24, 1985 Jan 24, 1985 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101105001079 | MI | Part a Provider - Hospital | 1254236839 | Practice locations: Canton, MI; Wayne, MI |
National Provider Directory
- Tax ID family
- Annapolis Hos
Locations
15500 Lundy Pkwy
Ste 101
Dearborn, MI 48126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 820010 | MI | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101010 | Other | MI | CHS/WELLNESS PROV# |
| 104664 | Other | MI | CARE CHOICE PROV # |
| 301558236 | Medicaid | MI | |
| HL820001 | Other | MI | M-CARE PROV # |
| 118627 | Other | MI | GREAT LAKES HLTH PROV # |
| 6331200 | Other | MI | AETNA PROV # |
| 230142 | Other | OSCAR | |
| 49339 | Other | MI | OMNICARE COVENTRY PROV # |
| 000000001625 | Other | MI | CAPE HEALTH PROV # |
| 00176 | Other | MI | BCBS PROV # |
| 006112 | Other | MI | MIDWEST HLTH PROV # |
| 405170077 | Medicaid | MI | |
| P00063 | Other | MI | BCN PROV # |
Other names
- Beaumont Hospital - Wayne
- Corewell Health Wayne Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.beaumont.edu |
Other providers in Wayne, MI
- Oakwood Annapolis
- Oakwood Healthcare Group I, LLC
- Oakwood Healthcare Inc
- Oakwood Healthcare Inc
- Oakwood Healthcare, Inc.
- Terrence Oden
- Odyssey Home Health Services Inc
- Xavier Oliver
- Lavone Olmstead
- Yetunde O. Olojo
All providers in Wayne, MI · General Acute Care Hospital in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.