NPIMap

Organization Active NPI

Sacred Heart Rehabilitation Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1710153960
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
823012 Issued in MI
Legal business name
SACRED HEART REHABILITATION CENTER, INC
Practice address
17131 Gitre St
Detroit, MI 48205-3161
Phone
(313) 245-4357
Fax
(313) 371-6139
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Grady Wilkinson
Title
President Ceo
Phone
(810) 392-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 823012 MI Primary

Addresses

Primary practice location

17131 Gitre St
Detroit, MI 48205-3161

Mailing address

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

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1710153960",
    "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",
            "fax_number": "810-392-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17131 GITRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053161",
            "telephone_number": "313-245-4357",
            "fax_number": "313-371-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "810-392-2167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "823012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.