NPIMap

Organization Active NPI

Southfield Rehabilitation Company

Doing business as Oakland Regional Hospital

  • Rehabilitation Hospital Unit
  • Southfield, MI
National Provider Identifier
1730337601
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
630013 Issued in MI
Legal business name
SOUTHFIELD REHABILITATION COMPANY
Doing business as
Oakland Regional Hospital
Practice address
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone
(248) 423-5100
Fax
(248) 423-5199
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Edward F Burke, D.O.NPI 1801896519
Title
President
Phone
(586) 751-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 630013 MI Primary

Addresses

Primary practice location

22401 Foster Winter Dr
Southfield, MI 48075-3724

Mailing address

PO Box 674073
Detroit, MI 48267-0001
Phone (586) 582-0864

Other identifiers 2

IdentifierTypeStateIssuer
302837175MedicaidMI
00127OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Oakland Regional Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000365 MI Part A Provider - Hospital 6709872617 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warren, MI; Southfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730337601. Details of each certification follow.

Hospital certification: CCN 230301

Legal name
SOUTHFIELD REHABILITATION COMPANY
Doing business as
SURGEONS CHOICE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 1, 2006
Last certification
Dec 2, 2015
Beds
45
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
22401 Foster Winter Dr
Southfield, MI 48075-3724
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Surgeons Choice Medical CenterCCN 230301 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard M Singer Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Corporate DirectorBoard Member Jan 2, 2024 7.14%
Edward Aron Haass Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
John a Gorski Individual General Partnership Interest Aug 1, 2022 7.14%
Corporate Officer Aug 1, 2022 7.14%
Corporate DirectorBoard Member Jan 2, 2024 7.14%
Ronda J Seley Individual W-2 Managing Employee Jun 1, 2017
Jeffrey M Hall Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Mehul M Mehta Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Alexander James Colen Individual General Partnership Interest Aug 1, 2022 7.14%
Corporate Officer Aug 1, 2022 7.14%
Phil Goy Individual Corporate DirectorCfo Jun 1, 2023
W-2 Managing EmployeeCfo Jun 1, 2023
Ara Nason Bush Individual General Partnership Interest Nov 1, 2019 7.14%
Corporate Officer Nov 1, 2019 7.14%
Daniel K Fahim Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Christopher DO Elia Individual General Partnership Interest Jan 1, 2024 7.14%
Corporate Officer Jan 1, 2024 7.14%
Scott Alan Laker Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Yisroel Sigler Individual General Partnership Interest Jan 1, 2024 7.14%
Corporate Officer Jan 1, 2024 7.14%
Corporate DirectorBoard Member Jan 5, 2026 7.14%
Nilesh M Patel Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate OfficerBoard Member Oct 1, 2016 7.14%
Corporate DirectorBoard Member Oct 1, 2016 7.14%
Ronald Rook Individual General Partnership Interest Jan 1, 2017 7.14%
Corporate Officer Jan 1, 2017 7.14%
Corporate DirectorBoard Member Jan 5, 2026 7.14%
Jeremy Ryan Ciullo Individual General Partnership Interest Jul 30, 2018 7.14%
Corporate Officer Jul 30, 2018 7.14%

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 104

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1730337601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674073",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670001",
            "telephone_number": "586-582-0864",
            "fax_number": "586-576-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-423-5100",
            "fax_number": "248-423-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD REHABILITATION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-751-3380",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": "630013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302837175",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00127",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.