NPIMap

Organization Active NPI

Henry Ford Health System

Doing business as Henry Ford West Bloomfield Hospital

  • General Acute Care Hospital
  • West Bloomfield, MI
National Provider Identifier
1407867559
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HENRY FORD HEALTH SYSTEM
Doing business as
Henry Ford West Bloomfield Hospital
Practice address
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone
(248) 661-4100
NPI assigned
Aug 11, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Robin S. Damschroder
Title
Evp, Chief Fin & Bus Dev Officer
Phone
(313) 876-8452

Specialties & licenses 1

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

Addresses

Primary practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Other names 1

  • Henry Ford West Bloomfield Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000261 MI Part A Provider - Hospital 0547178311 Practice locations: West Bloomfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407867559. Details of each certification follow.

Hospital certification: CCN 230302

Legal name
HENRY FORD HEALTH SYSTEM
Doing business as
HENRY FORD WEST BLOOMFIELD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 18, 2009
Last certification
Mar 17, 2016
Beds
191
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
6777 West Maple Road
West Bloomfield, MI 48322-3013
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Henry Ford Health West Bloomfield HospitalCCN 230302 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Henry for Health Sys158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Daniel J. Phelan Individual Corporate Director Jan 1, 2022
Charles McClure Individual Corporate Director Jul 25, 2014
Robert R Lubera Individual Corporate DirectorBoard Member Jan 1, 2025
Frederiek Toney Individual Corporate Director Jan 1, 2021
Barry G. Porter Individual Corporate Director Jan 1, 2020
Steven Brian Bender Individual Corporate OfficerSecretary Oct 21, 2024
Gerardo Norcia Individual Corporate Director Dec 1, 2023
Robert Riney Individual Corporate Director Jul 1, 2022
Michael Rafferty Individual Corporate Director Jan 1, 2020
Jeffrey Fall Individual Corporate DirectorBoard Member Jan 1, 2025
Farzan Siddiqui Individual Corporate Director Jan 1, 2024
Marjorie Staten Individual Corporate Officer Jan 1, 2019
Rhonda M Medows Individual Corporate DirectorBoard Member Jan 1, 2025
David Breen Individual Corporate Director Jan 1, 2015
Mary Ann Victor Individual Corporate DirectorBoard Member Sep 1, 2025
Jason Williams Individual Corporate OfficerVP Reimbursement Oct 1, 2024
W-2 Managing EmployeeVP Reimbursement Oct 1, 2024
Anthony Rocco Tersigni Individual Corporate Director Oct 1, 2024
Robin S. Damschroder Individual Corporate Officer Jan 1, 2018
Calvin R Ford Individual Corporate DirectorBoard Member Jan 1, 2025
Gregory Pflum Individual Corporate DirectorBoard Member Jan 1, 2025
Henry Ford Health Parent Organization, Detroit, MI Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2024 80%
Edward D Callaghan Individual Corporate DirectorBoard Member Jan 1, 2025
John F. Harris Individual Corporate Director Jan 1, 2021
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2024 20%
Edgar Vann Individual Corporate Director Jan 1, 2015
Lisa Fitzpatrick Individual Corporate DirectorBoard Member Jan 1, 2025
Joseph Richardson Individual Corporate Director Jan 1, 2016
Gwendolyn M Mackenzie Individual Corporate DirectorBoard Member Jan 1, 2025
Jacalyn S. Goforth Individual Corporate Director Jan 1, 2022
Eugene F Lovasco Individual Corporate Director Oct 1, 2024

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 26

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

FacilityTypeRoleSince
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 23T197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 230019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23S019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23T019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 230197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 230165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Warren HospitalWarren, MI, CCN 230195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Madison Heights HospitalWarren, MI, CCN 23T195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Heights Madison Heights HospitalWarren, MI, CCN 23S195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Macomb HospitalClinton Township, MI, CCN 230047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Henry Ford Macomb HospitalClinton Township, MI, CCN 23T047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23S165 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Wyandotte Hospital and Medical CenterWyandotte, MI, CCN 230146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23T146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23S146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Rochester HospitalRochester, MI, CCN 230254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23S254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23T254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Jackson HospitalJackson, MI, CCN 230092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Jackson HospitalJackson, MI, CCN 23S092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Brighton Center for RecoveryBrighton, MI, CCN 230279 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health River District HospitalEast China, MI, CCN 230241 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23T165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Behavioral Health HospitalWest Bloomfield, MI, CCN 234011 Hospital 5% Or Greater Direct Ownership Interest (17.4%)
General Partnership Interest (17.4%)		 Feb 23, 2025
Feb 23, 2025
Henry Ford Health Jackson HospitalJackson, MI, CCN 237405 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Allegiance HospiceJackson, MI, CCN 231523 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016

Facilities with the same owner 157

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

View all 157

Practitioners & affiliated clinicians

Practitioners 91

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 91

Affiliated clinicians 1,320

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

View all 1,320

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1407867559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "DAMSCHRODER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EVP, CHIEF FIN & BUS DEV OFFICER",
        "authorized_official_telephone_number": "313-876-8452"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford West Bloomfield Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ford West Bloomfield Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.