Organization Active NPI

Henry Ford Village, Inc.

  • Skilled Nursing Facility
  • Dearborn, MI
National Provider Identifier
1538122452
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
824026 Issued in MI
Legal business name
HENRY FORD VILLAGE, INC.
Doing business as
HENRY FORD VILLAGE
Practice address
15051 Ford Rd
Dearborn, MI 48126-4698
Phone
(313) 846-7142
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Mr. Ronald Jesmore
Title
Chairperson
Phone
(313) 584-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 824026 MI Primary

Addresses

Primary practice location

15051 Ford Rd
Dearborn, MI 48126-4698

Mailing address

15051 Ford Rd
Dearborn, MI 48126-4698
Phone (313) 846-7142

Other names 1

  • HENRY FORD VILLAGE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1538122452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264698",
            "telephone_number": "313-846-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264698",
            "telephone_number": "313-846-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "JESMORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "313-584-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "824026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.