NPIMap

Organization Active NPI

Henry Ford Southeast Michigan Community Health

  • Health Educator
  • Auburn Hills, MI
National Provider Identifier
1902513302
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
HENRY FORD SOUTHEAST MICHIGAN COMMUNITY HEALTH
Practice address
2251 N Squirrel Rd
Auburn Hills, MI 48326-4600
Phone
(248) 849-5715
NPI assigned
Nov 4, 2022
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Kimberly Cebalt
Title
Manager of Provider Affairs
Phone
(313) 874-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

2251 N Squirrel Rd
Auburn Hills, MI 48326-4600

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230609001510 MI MDPP Supplier - in-Person MDPP Supplier 3577843838 Practice locations: Auburn Hills, MI

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
St John Health System C4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2251 N Squirrel Rd
Auburn Hills, MI 48326
Phone (248) 652-5900

2251 N Squirrel Rd
Ste 330
Auburn Hills, MI 48326
Phone (248) 652-5660

35200 Little Mack Ave
Clinton Twp, MI 48035
Phone (586) 790-4096

12800 Kelly Rd
Detroit, MI 48224
Phone (313) 372-3319

2959 Martin Luther King Jr Blvd
Detroit, MI 48208
Phone (313) 463-2037

Practitioners & affiliated clinicians

Practitioners 9

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": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1902513302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "800-999-5829",
            "fax_number": "248-641-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-849-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD SOUTHEAST MICHIGAN COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "CEBALT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER OF PROVIDER AFFAIRS",
        "authorized_official_telephone_number": "313-874-6764"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.