ST MARY MERCY HOSPITAL (NPI# 1235261124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235261124 |
| Entity Type | Organization |
| Organization Name | ST MARY MERCY HOSPITAL |
| Practice Address |
36475 5 Mile Rd Livonia MI 48154-1971 |
| Practice Telephone | 7346554800 |
| Practice Fax Number | 7346551274 |
| Mailing Telephone | 7346554800 |
| Mailing Fax Number | 7346551274 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | DAVID SPIVEY (PREESIDENT & CEO) |
| Authorized Official Telephone | 7346551611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 822312 | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS SUBSTANCE ABUS | 20243 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154836195 | St Mary Mercy Hospital | Clinic/Center | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2017-12-13 |
| 1306219860 | St Mary Mercy Hospital | Clinic/Center | 36622 Five Mile Rd, Suite 201, Livonia, MI 48154-1971 | 2015-11-05 |
| 1912184227 | St Mary Mercy Hospital | General Acute Care Hospital | 36475 5 Mile Rd, Attn Patient Accounting, Livonia, MI 48154-1971 | 2008-01-29 |
| 1740467059 | St Mary Mercy Hospital | General Acute Care Hospital | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2008-01-29 |
| 1861554040 | St Mary Mercy Hospital | Prosthetic/Orthotic Supplier | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2006-12-14 |
| 1144326380 | St Mary Mercy Hospital | Rehabilitation Unit | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2006-09-15 |
| 1093721490 | St Mary Mercy Hospital | Psychiatric Unit | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2006-07-31 |
| 1790706901 | St Mary Mercy Hospital | General Acute Care Hospital | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2006-07-22 |
| Street Address |
36475 5 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083698799 | Thomas Daniel Oweis | Surgery | 36475 5 Mile Rd, Attn: Trauma Services, Livonia, MI 48154-1971 | 2005-12-06 |
| 1508472028 | Livonia Emergency Physicians Pllc | Physician Assistant | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2020-09-21 |
| 1245866821 | Christy Lynn Goward | Clinical Nurse Specialist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2020-03-16 |
| 1215424874 | Arceli Valenzuela Ramos | Physical Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-04-19 |
| 1033616834 | Lisa Marie Barton | Occupational Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-04-09 |
| 1851898654 | Reena George Philip | Occupational Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-04-09 |
| 1467957571 | Hannah Cavicchio | Physical Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-03-29 |
| 1083119861 | Lindsey Boutell | Physical Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-03-26 |
| 1851807879 | Janice Lynn Ruggles | Nurse Practitioner | 36475 5 Mile Rd, Livonia, MI 48154 | 2017-12-28 |
| 1114475019 | Elizabeth Souther | Nurse Practitioner | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821311341 | Peer Choices, Inc. | Rehabilitation, Substance Use Disorder Unit | 255 N Telegraph Rd Ste 206, Waterford, MI 48328-3355 | 2010-03-11 |
| 1174720080 | St Joseph Mercy Hospital | Rehabilitation, Substance Use Disorder Unit | 5401 Mcauley Drive, Ypsilanti, MI 48197-1011 | 2007-07-03 |
| 1235749219 | Joel Darnell Dewberry | Rehabilitation, Substance Use Disorder Unit | 20102 Harper Ave, Harper Woods, MI 48225-1712 | 2020-08-05 |
| 1417570128 | Sheridan Community Hospital | Rehabilitation, Substance Use Disorder Unit | 301 N Main St, Sheridan, MI 48884-9235 | 2020-05-28 |
| 1417589086 | Black Rock Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 25235 Orchard Lake Rd, Farmington Hills, MI 48336-1233 | 2020-02-11 |
| 1053722280 | Eagle Advancement Institute | Rehabilitation, Substance Use Disorder Unit | 7091 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322-3654 | 2014-05-09 |
| 1174871305 | Dlp Marquette General Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-20 |
| 1932363454 | Munson Medical Center | Rehabilitation, Substance Use Disorder Unit | 1105 6th St, Traverse City, MI 49684-2345 | 2008-07-14 |
| 1487817680 | Alpena Regional Medical Center-bhs | Rehabilitation, Substance Use Disorder Unit | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2008-07-08 |
| 1598949794 | Healthsource Saginaw Inc | Rehabilitation, Substance Use Disorder Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2007-12-24 |
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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.