St. Marie'S

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST. MARIE'S

Practice address

24555 Southfield Rd Ste 100
Southfield, MI 48075-2788

Phone

(248) 809-3795

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Melvie Berkery

Title

Administrative Director

Phone

(248) 809-3795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231641

Legal name

ST. MARIE'S

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 1, 2015

Last certification

Jun 1, 2015

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

May 1, 2012 in MI

Enrollment address

24555 Southfield Rd
Ste 100
Southfield, MI 48075-2738

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St Maries

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1508670753

  5294984837

  Same PAC ID

Listed as

St Marie'SCCN 231641

Ownership

For-Profit

Certified

Jun 1, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

St Marie'S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St Maries

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1508670753
  NPD tax ID

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 3

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

• Ribhi Hazin, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1265747463

  Hospice

  Care Compare affiliation
• Remi O Soile, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1366510893

  Hospice

  Care Compare affiliation
• Anthony Dequann Spearman, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639453228

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1548528656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24555 SOUTHFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752788",
            "telephone_number": "248-809-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 SOUTHFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752788",
            "telephone_number": "248-809-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18211 W 12 Mile Rd Ste 2Se",
            "address_purpose": "LOCATION",
            "city": "Lathrup Village",
            "state": "MI",
            "postal_code": "480762641",
            "country_code": "US",
            "telephone_number": "248-809-3795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29501 Greenfield Rd",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762250",
            "country_code": "US",
            "telephone_number": "248-809-3795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. MARIE'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BERKERY",
        "authorized_official_first_name": "MELVIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "248-809-3795",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St John Providence Health
• St John Providence Health System
• St Jude Therapy Center Staffing
• St Maries
• St. John Providence Hospital
• Susan M St. Peter, CRNA
• Rachel Kimberly Stabel, R.N.
• Joseph Matthew Stabrava, MA TLLP
• Ellen Stachowicz, LLBSW
• Stacy K Doctoroff LLPC, LLC

• All providers in Southfield, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.