NPIMap

Organization Active NPI

Sacred Heart Rehabilitation Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richmond, MI
National Provider Identifier
1609971662
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
101YA0400X Issued in MI
Legal business name
SACRED HEART REHABILITATION CENTER, INC.
Practice address
400 Stoddard Rd
Richmond, MI 48062-2505
Phone
(810) 392-2167
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Pam Ardoin
Title
Cfo
Phone
(810) 392-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 101YA0400X MI Primary

Addresses

Primary practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Mailing address

400 Stoddard Rd
Richmond, MI 48062-2505
Phone (810) 392-2167

Other identifiers 2

IdentifierTypeStateIssuer
500044MedicaidMI
101YA0400XOtherMITHERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmurray@sacredheartcenter.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Rehabilitation Center Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1609971662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STODDARD RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622505",
            "telephone_number": "810-392-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STODDARD RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622505",
            "telephone_number": "810-392-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "ARDOIN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-392-2167"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500044",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "101YA0400X",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmurray@sacredheartcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "400 Stoddard Rd",
            "city": "Richmond",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480622505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.