Organization Active NPI

Regina Gratiae Foundation

  • Home Health Agency
  • Dearborn Heights, MI
National Provider Identifier
1396581146
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REGINA GRATIAE FOUNDATION
Practice address
4450 Syracuse St
Dearborn Heights, MI 48125-2121
Phone
(313) 686-9517
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Gerald C Okoli
Title
Director
Phone
(313) 686-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4450 Syracuse St
Dearborn Heights, MI 48125-2121

Mailing address

4450 Syracuse St
Dearborn Heights, MI 48125-2121
Phone (313) 686-9517

Other identifiers 1

IdentifierTypeStateIssuer
1962949784MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1396581146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SYRACUSE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252121",
            "telephone_number": "313-686-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SYRACUSE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252121",
            "telephone_number": "313-686-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA GRATIAE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "OKOLI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-686-9517"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962949784",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.