Active NPI
Henry Ford Health System
- Oxygen Equipment & Supplies (DME)
- Grosse Pointe Farms, MI
National Provider Identifier
1679548952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 159 Kercheval Ave
Ste a
Grosse Pointe Farms, MI 48236-3610 - Phone
- (313) 640-2458
- Fax
- (313) 640-2456
- NPI assigned
- Feb 21, 2006
- Organization subpart
- Yes
- Parent organization
- HENRY FORD HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Polanski
- Title
- Ceo Community Care Services
- Phone
- (248) 723-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
159 Kercheval Ave
Ste a
Grosse Pointe Farms, MI 48236-3610
Mailing address
21651 Melrose Ave
Southfield, MI 48075-7906
Phone (248) 353-2468
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4962566 | Medicaid | MI | |
| 540E027210 | Other | MI | BCBS OF MICHIGAN |
| 2333 | Other | MI | HAP |
Other names 1
- Henry Ford Health Products
National Provider Directory
National Provider Directory- Part of
- Henry for Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
159 Kercheval Ave
Ste A
Grosse Pointe Farms, MI 48236
Phone (313) 640-2458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333324800000",
"number": "1679548952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21651 MELROSE AVE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480757906",
"telephone_number": "248-353-2468",
"fax_number": "248-353-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 KERCHEVAL AVE",
"address_2": "STE A",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363610",
"telephone_number": "313-640-2458",
"fax_number": "313-640-2456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HENRY FORD HEALTH SYSTEM",
"enumeration_date": "2006-02-21",
"last_updated": "2012-04-02",
"status": "A",
"authorized_official_last_name": "POLANSKI",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO COMMUNITY CARE SERVICES",
"authorized_official_telephone_number": "248-723-0211"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4962566",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "540E027210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "2333",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Health Products",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grosse Pointe Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.