NPIMap

Organization Active NPI

Prime Healthcare Services - Garden City LLC

Doing business as Garden City Hospital

  • Rehabilitation Hospital Unit
  • Garden City, MI
National Provider Identifier
1861807760
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Doing business as
Garden City Hospital
Practice address
6245 Inkster Rd
Garden City, MI 48135-4001
Phone
(734) 421-3300
NPI assigned
Jun 30, 2014
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Gina S Butcher
Title
Regional Cfo
Phone
(734) 458-4692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

6245 Inkster Rd
Garden City, MI 48135-4001

Mailing address

3300 E Guasti Rd
3Rd Floor
Ontario, CA 91761-8655
Phone (909) 235-4300

Other identifiers 1

IdentifierTypeStateIssuer
00006OtherMIBCBS OF MICHIGAN

Other names 1

  • Garden City Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140806000550 MI Part A Provider - Hospital 6800013459 Practice locations: Garden City, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861807760. Details of each certification follow.

Hospital certification: CCN 23T244

Legal name
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Doing business as
GARDEN CITY HOSPITAL
Organization structure
LLCProprietary
Enrollment address
6245 Inkster Rd
Garden City, MI 48135-4001
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Garden City HospitalCCN 23T244 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1988

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services - Garden City LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Christopher Fulks Individual Corporate OfficerChief Financial Officer Feb 1, 2021
Prime Healthcare Services, Inc Organization, Ontario, CA For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Steven Aleman Individual Corporate OfficerCorporate Chief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Jun 1, 2020
Terri Kalinski Individual W-2 Managing EmployeeRevenue Cycle Director Mar 2, 2015
Prime Healthcare Holdings Inc Organization, Ontario, CA For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
United Home Health Services Inc.Garden City, MI, CCN 237144 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2014
Jul 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 77

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 77

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1861807760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E GUASTI RD",
            "address_2": "3RD FLOOR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618655",
            "telephone_number": "909-235-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-421-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - GARDEN CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE HOLDINGS INC",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "734-458-4692"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "00006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garden City Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.