NPIMap

Organization Active NPI

St Joseph Mercy Chelsea Inc

Doing business as Chelsea Hospital

  • General Acute Care Hospital
  • Chelsea, MI
National Provider Identifier
1992761985
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST JOSEPH MERCY CHELSEA INC
Doing business as
Chelsea Hospital
St Joseph Mercy Chelsea, Inc
St. Joseph Mercy Chelsea
Practice address
775 S Main St
Chelsea, MI 48118-1370
Phone
(734) 593-6000
Fax
(734) 593-5365
NPI assigned
Apr 26, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Michael Gusho
Title
Sr Reimbursement Management Analyst
Phone
(734) 398-0642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MI Primary

Addresses

Primary practice location

775 S Main St
Chelsea, MI 48118-1370

Mailing address

20555 Victor Pkwy
Livonia, MI 48152-7031
Phone (734) 593-6000

Other names 3

  • Chelsea Hospital Doing business as
  • St Joseph Mercy Chelsea, Inc Doing business as
  • St. Joseph Mercy Chelsea Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040119000004 MI Part B Supplier - Clinic/Group Practice 0648171074 Receives reassigned benefits from 179 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chelsea, MI
O20180917000070 MI Part A Provider - Hospital 3173871324 Practice locations: Chelsea, MI; Dexter, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992761985. Details of each certification follow.

Hospital certification: CCN 230259

Legal name
ST JOSEPH MERCY CHELSEA INC
Doing business as
CHELSEA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 21, 1970
Last certification
Jul 25, 2006
Beds
83
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2018 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
775 S Main St
Chelsea, MI 48118-1383
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Chelsea HospitalCCN 230259 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 3

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Eric J Strucko Individual Corporate DirectorBoard Member Apr 1, 2023
Tomasine F Marx Individual Operational/Managerial ControlExecutive With Control Jan 1, 2022
Migdalia Musler Individual Corporate DirectorBoard Member Jul 31, 2018
Rafina Khateeb Individual Corporate OfficerChair Nov 18, 2022
Corporate DirectorBoard Member Aug 1, 2020
Shannon Striebich Individual Corporate OfficerVice-Chair Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Michael P Gusho Individual Corporate OfficerTreasurer Jul 31, 2018
Corporate DirectorBoard Member Jul 31, 2018
Richard Helppie Individual Corporate DirectorBoard Member Jul 31, 2018
Regents of the University of Michigan Organization, Ann Arbor, MI Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2018 49%
Kelly Smith Individual Corporate DirectorBoard Member Aug 1, 2020
Mandi a Murray Individual Corporate OfficerSecretary Aug 1, 2022
Hitinder S Gurm Individual Corporate DirectorBoard Member Aug 1, 2024
Sharon M O'Leary Individual Corporate DirectorBoard Member Jul 31, 2018
Trinity Health-Michigan Organization, Livonia, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2018 51%
Robert F Casalou Individual Corporate OfficerRegional President & Ceo Jul 31, 2018
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2018 51%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 170

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

View all 170

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

Affiliated clinicians 799

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

View all 799

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1992761985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20555 VICTOR PKWY",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527031",
            "telephone_number": "734-593-6000",
            "fax_number": "734-593-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181370",
            "telephone_number": "734-593-6000",
            "fax_number": "734-593-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MERCY CHELSEA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR REIMBURSEMENT MANAGEMENT ANALYST",
        "authorized_official_telephone_number": "734-398-0642"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chelsea Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Joseph Mercy Chelsea, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph Mercy Chelsea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.