NPIMap

Organization Active NPI

Sacred Heart Rehabilitation Center, Inc

  • Community/Behavioral Health Agency
  • Madison Heights, MI
National Provider Identifier
1942510516
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
631337 Issued in MI
Legal business name
SACRED HEART REHABILITATION CENTER, INC
Practice address
28303 Dequindre Rd
Madison Heights, MI 48071-3040
Phone
(248) 658-1116
Fax
(248) 658-1120
NPI assigned
Oct 18, 2010
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Mr. Paula Nelson
Title
President/Ceo
Phone
(810) 392-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 631337 MI Primary

Addresses

Primary practice location

28303 Dequindre Rd
Madison Heights, MI 48071-3040

Mailing address

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone (810) 392-2167

Other identifiers 1

IdentifierTypeStateIssuer
SA631337OtherMILICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL tmurray@sacredheartcenter.com Direct
CONNECT URL www.sacredheartcenter.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712000553 MI Part B Supplier - Clinic/Group Practice 5395771240 Receives reassigned benefits from 37 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bay City, MI; Saint Ignace, MI; Saint Clair Shores, MI; Saginaw, MI; Richmond, MI; Port Huron, MI; Madison Heights, MI; Flint, MI…
O20200302001466 MI Part B Supplier - Opioid Treatment Program (Otp) 5395771240 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clair Shores, MI; Saint Ignace, MI; Richmond, MI; Madison HTS, MI; Flint, MI

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Rehab Ctr 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 3

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1942510516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712651",
            "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": "28303 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713040",
            "telephone_number": "248-658-1116",
            "fax_number": "248-658-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "810-392-2167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "631337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SA631337",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tmurray@sacredheartcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "28303 Dequindre Rd",
            "city": "Madison Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480713040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sacredheartcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "28303 Dequindre Rd",
            "city": "Madison Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480713040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.