NPIMap

Organization Active NPI

Mercy Services for Aging Nonprofit Housing Corporation

Doing business as Sanctuary at Bellbrook

  • Nursing Facility Supplies (DME)
  • Rochester Hills, MI
National Provider Identifier
1548359441
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
634018 Issued in MI
Legal business name
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
Doing business as
Sanctuary at Bellbrook
Practice address
873 W Avon Rd
Rochester Hills, MI 48307-2705
Phone
(248) 656-3239
Fax
(248) 656-3269
NPI assigned
Oct 11, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Jackie Harris
Title
Ceo
Phone
(248) 305-7688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 634018 MI Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU

Addresses

Primary practice location

873 W Avon Rd
Rochester Hills, MI 48307-2705

Mailing address

PO Box 9184
Farmington Hills, MI 48333-9184
Phone (248) 305-7919

Other identifiers 1

IdentifierTypeStateIssuer
87-3174550MedicaidMI

Other names 1

  • Sanctuary at Bellbrook Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Services for Aging20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1548359441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9184",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483339184",
            "telephone_number": "248-305-7919",
            "fax_number": "348-305-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 W AVON RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072705",
            "telephone_number": "248-656-3239",
            "fax_number": "248-656-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-305-7688"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "MI",
            "license": "634018",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-3174550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary at Bellbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.