WILLIAM BEAUMONT HOSPITAL (NPI# 1093744153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093744153 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT HOME INFUSION |
| Practice Address |
1410 E 14 Mile Rd Madison Heights MI 48071-1541 |
| Practice Telephone | 2487436500 |
| Mailing Telephone | 2487436500 |
| Mailing Fax Number | 2487436530 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | CAROYLN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9475223326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3113106 | 05 | |
| MI | BCBS PROVIDER ID# | 540F30028 | 01 |
| MI | 3113090 | 05 |
| Other Name | Type Code |
|---|---|
| Beaumont Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| 1598731465 | William Beaumont Hospital | Clinic/Center | 2624 11 Mile Rd, Berkley, MI 48072-3050 | 2006-02-28 |
| Street Address |
1410 E 14 MILE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851865786 | Beaumont Ashn, LLC | Hospice, Inpatient | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2019-01-14 |
| 1750853933 | Adenike Adeola Kuforiji | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-27 |
| 1588136808 | Michael Dann Panlasigue | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-27 |
| 1770055576 | Karen Elizabeth Fecteau | Speech-Language Pathologist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-19 |
| 1578035366 | Kanchana Malaa Mohanram | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-18 |
| 1427528520 | Oluwafemi Fashina | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-11-30 |
| 1407325236 | Ghazala Qasim | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-11-22 |
| 1083181671 | Kimberly Gadulka | Speech-Language Pathologist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-11-01 |
| 1295201374 | Renea Gailey | Occupational Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-10-16 |
| 1568937027 | Tammy Demeere | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021135 | William Beaumont Hospitals | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1386207868 | M&m Quality Care | Home Infusion | 6411 Bella Vista Dr Ne Ste 1, Rockford, MI 49341-7869 | 2019-04-19 |
| 1942768163 | E3 Care Givers, LLC | Home Infusion | 30200 Telegraph Rd Ste 201, Bingham Farms, MI 48025-4506 | 2019-03-06 |
| 1326531419 | Roslee Urey Sole Mbr | Home Infusion | 22934 Buckingham Dr., Farmington Hills, MI 48335 | 2018-06-13 |
| 1568954014 | Pontiac General Hospital Pharmacy Inc. | Home Infusion | 461 W Huron St Ste 111, Pontiac, MI 48341-1601 | 2018-05-31 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1538544655 | Heartfelt Care Inc | Home Infusion | 30451 Puritan St, Livonia, MI 48154-3263 | 2015-07-30 |
| 1174949770 | Integrative Home Health Palliative & Hospice Care, LLC | Home Infusion | 1707 Campau Farms Cir, Detroit, MI 48207-5169 | 2014-03-07 |
| 1184049645 | Victory Unto Salvation Faith Ministries | Home Infusion | 277 Philip St, Detroit, MI 48215-3141 | 2014-02-20 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on WILLIAM BEAUMONT HOSPITAL.
| 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.