HENRY FORD MAPLEGROVE CENTER (NPI# 1295767630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295767630 |
Entity Type | Organization |
Organization Name | HENRY FORD MAPLEGROVE CENTER |
Other Organization Name | HENRY FORD HEALTHSYSTEM |
Practice Address |
6773 W Maple Rd West Bloomfield MI 48322-3013 |
Practice Telephone | 2486616100 |
Practice Fax Number | 2486617347 |
Mailing Telephone | 2486616100 |
Mailing Fax Number | 2486617347 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JIM CONNELLY (SR. VICE PRESIDENT) |
Authorized Official Telephone | 3138748714 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 324500000X | Substance Abuse Rehabilitation Facility | MI | Residential Treatment Facilities | |
X | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
MI | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Henry Ford HealthSystem | Other Name - Individual/Organization |
Street Address |
6773 W MAPLE RD |
City | WEST BLOOMFIELD |
State | MI |
Zip Code | 48322-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326040262 | Blake Angove | Social Worker | 6773 W Maple Rd, Maplegrove Center, West Bloomfield, MI 48322-3013 | 2005-08-11 |
1679135123 | Justina A Nzums | Nurse Practitioner | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-07-05 |
1154806362 | Toni Broden | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-10-03 |
1033541636 | Lisa Weingarden Kaplan | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-08-06 |
1689979817 | Betty Jean Weymouth-conger | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2011-01-19 |
1568788164 | Christine Victoria Reeves | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2010-04-08 |
1922331305 | Daniel Sanborn | Nurse Anesthetist, Certified Registered | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2009-09-16 |
1952510182 | Henry Ford Health System Maplegrove Center | Clinic/Center | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2007-05-22 |
1134225758 | Elizabeth Bradford | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-09-15 |
1609849868 | Philip Alain Gilly | Family Medicine | 6773 W Maple Rd, Henry Ford Maplegrove Center, West Bloomfield, MI 48322-3013 | 2006-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
Find all providers in zip 48322 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
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1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
Find all providers with the same taxonomy |
City | WEST BLOOMFIELD |
Zip Code | 48322 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.