NPIMap

Organization Active NPI

Circle of Life Hospital

  • Psychiatric Hospital
  • Detroit, MI
National Provider Identifier
1881721793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
4703081326 Issued in MI
Legal business name
CIRCLE OF LIFE HOSPITAL
Practice address
15000 Gratiot Ave
Detroit, MI 48205-1973
Phone
(313) 245-0600
Fax
(313) 372-8606
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Hunter
Title
Corporate Compliance Officer
Phone
(313) 245-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 4703081326 MI Primary

Addresses

Primary practice location

15000 Gratiot Ave
Detroit, MI 48205-1973

Mailing address

15000 Gratiot Ave
Detroit, MI 48205-1973
Phone (313) 245-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 230063

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SARATOGA COMMUNITY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jul 1, 1998
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 22, 1988
Beds
200
Ownership / control type
Other
Most recent change of ownership
Jul 1, 1998 (1 total)
Facility address
15000 Gratiot Avenue
Detroit, MI 48205

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881721793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051973",
            "telephone_number": "313-245-0600",
            "fax_number": "313-372-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051973",
            "telephone_number": "313-245-0600",
            "fax_number": "313-372-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "313-245-0600"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MI",
            "license": "4703081326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.