Henry Ford Health System
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Livonia, MI
NPI 1376563767 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1376563767
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 14555 Levan Rd
Livonia, MI 48154-5083 - Phone
- (734) 591-6409
- Fax
- (734) 591-6225
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David F Shepherd
- Title
- Vice President
- Phone
- (248) 642-5038
Corporate family (same tax ID) 24
Affiliated clinicians 6
-
Mohammad Alhaji, MD
-
Sophia K. Arunselvan, M.D.
-
Jyothsna I Herek, M.D.
-
Kelly M Mercier, DO
-
Ahmer O Rehman, MD
-
Talanki Viswanath, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- Greenfield HS - Livonia
- Overall star rating
- ★★☆☆☆ 2.0 of 5
- Ownership
- Non-profit
- Certified
- Sep 1, 1977
- Medicare certification status
- Active
- Chain
- Greenfield Health Systems
- Dialysis stations
- 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0943532 | Greenfield Health Systems | Certificate of waiver | Mar 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
All facility ownership & control disclosures 26
| Facility | Type | Role | Since |
|---|---|---|---|
| Henry Ford Genesys Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Genesys Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Warren Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Madison Heights Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Heights Madison Heights Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Macomb Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Henry Ford Macomb Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2007 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| Wyandotte Hospital and Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Jackson Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Jackson Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Brighton Center for Recovery |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health River District Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Behavioral Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (17.4%) General Partnership Interest (17.4%) |
Feb 23, 2025 Feb 23, 2025 |
| Henry Ford Health Jackson Hospital |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Allegiance Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111109000819 | MI | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 0547178311 | Practice locations: Livonia, MI |
National Provider Directory
- Tax ID family
- Henry for Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
14555 Levan Rd
Livonia, MI 48154-5083
Mailing address
30100 Telegraph Rd
Suite 200
Bingham Farms, MI 48025-4514
Phone (248) 723-0224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43430 | Other | GREATLAKES | |
| P08919 | Other | BLUE CARE NETWORK | |
| 09408 | Other | FEDERAL BLUE CROSS SECOND | |
| 232505 | Other | HAP | |
| 2701364 | Medicaid | MI | |
| 8463770 | Other | AETNA | |
| 102251 001 | Other | WELLNESS | |
| 4808E | Other | CAPE | |
| 08918 | Other | BLUE CROSS PRIMARY | |
| 123051 | Other | PREFERRED CHOICE | |
| 14645 | Other | M CARE | |
| 501076 | Other | ULTI MED | |
| 08918 | Other | FEDERAL BLUE CROSS PRIMAR | |
| 09408 | Other | BLUE CROSS SECONDARY | |
| 123051 | Other | CARE CHOICES |
Other names
- Greenfield Health Systems
Other providers in Livonia, MI
- Kayla Renee Henderson
- Morgan Henderson
- Terry L Henley-Vogt
- Henry Ford Eastwood Behavioral Health
- Henry Ford Health Eastwood Behavioral Health
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Nailah Henry
All providers in Livonia, MI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. 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.