Henry Ford Village, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

HENRY FORD VILLAGE, INC.

Doing business as

Outpatient Rehab Agency

Practice address

15101 Ford Rd
Dearborn, MI 48126-4611

Phone

(313) 846-7142

NPI assigned

Jun 3, 2006

Last updated

Aug 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence A. Vidovic

Title

Executive Director

Phone

(313) 846-7142

Specialties & licenses 1

Addresses

Other names 1

• OUTPATIENT REHAB AGENCY Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1437197217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264611",
            "telephone_number": "313-846-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264611",
            "telephone_number": "313-846-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "VIDOVIC",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-846-7142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT REHAB AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health Systems
• Henry Ford Health Sytems
• Henry Ford Hospital
• Henry Ford Medical Center Fairlane (Henry Ford Health System)
• Henry Ford Physician Partners (Henry Ford Physician Partners - PCS)
• Henry Ford Village, Inc. (Henry Ford Village)
• Christopher Keith Henry, M.D.
• Sharon Hensley Alford
• Melissa Hepfinger
• Aubyn Sinclair Herbison, OTR/L

• Rehabilitation Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.