Organization Active NPI

Henry Ford Health System

  • Rehabilitation Hospital
  • Berkley, MI
National Provider Identifier
1386068609
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
2601000322 Issued in MI
Legal business name
HENRY FORD HEALTH SYSTEM
Practice address
1258 Franklin Rd
Berkley, MI 48072-2116
Phone
(248) 840-9710
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Dayna Nichole Elenis
Title
Athletic Trainer/ Sports Medicine
Phone
(248) 840-9710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 2601000322 MI Primary

Addresses

Primary practice location

1258 Franklin Rd
Berkley, MI 48072-2116

Mailing address

1258 Franklin Rd
Berkley, MI 48072-2116
Phone (248) 840-9710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1386068609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 FRANKLIN RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722116",
            "telephone_number": "248-840-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 FRANKLIN RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722116",
            "telephone_number": "248-840-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "ELENIS",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "ATHLETIC TRAINER/ SPORTS MEDICINE",
        "authorized_official_telephone_number": "248-840-9710"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MI",
            "license": "2601000322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.