Sacred Heart

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

SACRED HEART

Practice address

400 Stoddard Rd
Richmond, MI 48062-2505

Phone

(810) 392-2167

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Breanna Selena Calliotte

Title

Peer Coach

Phone

(586) 943-6233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1659115798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 ASHLAND CT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480608177",
            "telephone_number": "586-943-6233"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "CALLIOTTE",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "SELENA",
        "authorized_official_title_or_position": "PEER COACH",
        "authorized_official_telephone_number": "586-943-6233"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Rubino, RPH
• Andrew Ruczynski
• Theresa Jean Ruff, RN
• Klay Russell
• Terri Rusz, PTA
• Sacred Heart Rehabilitation Center, Inc.
• Sacred Heart Rehabilitation Center, Inc.
• Sacred Heart Rehabilitation Center:Clearview
• Daniella Sahourieh
• Dominique Renee Schroeder

• Recovery Care Clinic/Center in Richmond, MI
• Providers in Richmond, MI by specialty
• Recovery Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.