Active NPI
Henry Ford Macomb Hospital Corporation
- Home Health Agency
- Mount Clemens, MI
National Provider Identifier
1689755290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7559
- Legal business name
- HENRY FORD MACOMB HOSPITAL CORPORATION
- Practice address
- 215 North Ave
Mount Clemens, MI 48043-1716 - Phone
- (586) 228-0040
- Fax
- (586) 228-0044
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Joseph Hatahway
- Title
- Cfo
- Phone
- (586) 263-2705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7559 | MI | Primary |
Addresses
Primary practice location
215 North Ave
Mount Clemens, MI 48043-1716
Mailing address
215 North Ave
Mount Clemens, MI 48043-1716
Phone (586) 228-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2726800 | Medicaid | MI |
Other names 1
- Henry Ford Macomb Home Health Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231372800000",
"number": "1689755290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480431716",
"telephone_number": "586-228-0040",
"fax_number": "586-228-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480431716",
"telephone_number": "586-228-0040",
"fax_number": "586-228-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD MACOMB HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2009-01-08",
"status": "A",
"authorized_official_last_name": "HATAHWAY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "586-263-2705",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "7559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2726800",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Macomb Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Clemens, MI
- Henry Ford Macomb Ancillary Services
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation
- Henry Ford Physician Partners
- Cole William Hensley, MD
- Stephanie Ann Hernandez, D.O.
- Gerome Everett Hess, MSN, NP
- Becky Ann Heth, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.