CHILDREN'S HOSPITAL (NPI# 1720265036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720265036 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL |
| Practice Address |
3901 Beaubien St Detroit MI 48201-2119 |
| Practice Telephone | 3135782564 |
| Practice Fax Number | 3135783964 |
| Mailing Telephone | 3135782564 |
| Mailing Fax Number | 3135783964 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. HERMAN GRAY (PRESIDENT) |
| Authorized Official Telephone | 3137458737 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2788624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255608048 | Children's Hospital | General Acute Care Hospital | 11 E Milton Rd, Apt 2, Brookline, MA 02445-6738 | 2011-11-21 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1548452535 | Children's Hospital | Psychiatric Unit | 210 State St Bldg 10, New Orleans, LA 70118-5735 | 2007-08-14 |
| 1609900323 | Children's Hospital | Pediatrics | Children's Hospital - Emergency Physicians, 8200 Dodge Street, Omaha, NE 68114-4113 | 2007-03-15 |
| 1679607428 | Children's Hospital | Pediatrics | Children's Hospital - Urgent Care - Eagle Run, 13808 West Maple Road, Omaha, NE 68164-6231 | 2007-03-15 |
| 1255932182 | Children's Hospital | Ambulance | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-11-06 |
| 1790121234 | Children's Hospital | Transplant Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-05-10 |
| 1457601437 | Children's Hospital | Ambulance | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2012-09-17 |
| 1326344003 | Children's Hospital | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2011-01-28 |
| 1306156138 | Children's Hospital | Specialist | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2010-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S HOSPITAL | 200 Henry Clay Ave, New Orleans, LA 70118-5720 |
| Virginia Business Entities | CHILDREN'S HOSPITAL | 111 Michigan Ave Nw, Washington, District Of Columbia 20010 |
| Colorado Business Entities | CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION | 2201 Broadway, Suite 600, Oakland, CA 94612 |
| Colorado Business Entities | Children's Hospital & Research Center Foundation, Inc. | 2201 Broadway, Suite 600, Oakland, CA 94612-3017 |
| System for Award Management (SAM) Entities | CHILDREN'S HOSPITAL 2 | 14 Ly Tu Trong Street, Ben Nghe Ward, Ho Chi Minh, HO CHI MINH, VNM |
| System for Award Management (SAM) Entities | CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. | 9000 W Wisconsin Ave Stop 1, Milwaukee, WI 53226-3518 |
| Colorado Business Entities | Children's Hospital and Healthcare Services Foundation | 2924 Brook Road, Richmond, VA 23220 |
| Virginia Business Entities | CHILDREN'S HOSPITAL AND HEALTHCARE SERVICES FOUNDATION | 2924 Brook Road, Richmond, Virginia 23220 |
| Virginia Business Entities | CHILDREN'S HOSPITAL AND RESEARCH CENTER FOUNDATION | 2201 Broadway, Ste 600, Oakland, California 94612 |
| North Carolina Corporations | Children's Hospital and Research Center Foundation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
3901 BEAUBIEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151238 | Mark Campbell | Nurse Anesthetist, Certified Registered | 3901 Beaubien St, Detroit, MI 48201-2119 | 2005-08-18 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1346864550 | Mariane Tomiyoshi Asato | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-06-03 |
| 1629691613 | Abigail Marie Troy | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-05-25 |
| 1235750373 | Katherine Marie Obudzinski | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-04-29 |
| 1548880073 | Sara Mercedes Evans | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1619597069 | Zahur Fatima Sallman | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1154941706 | Saira Tariq | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| 1063032688 | Michael Allen Finkel | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427363936 | Vhs Childrens Hospital of Michigan Inc | Rehabilitation Unit | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-08-10 |
| 1679885347 | Vhs Sinai-grace Hospital Inc | Rehabilitation Unit | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2010-07-09 |
| 1023335544 | Ascension St John Hospital | Rehabilitation Unit | 22101 Moross Rd, Detroit, MI 48236-2148 | 2010-04-23 |
| 1801853767 | Sinai Hospital of Greater Detroit | Rehabilitation Unit | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902175805 | Martial Arts Therapy | Rehabilitation Unit | 7800 W Sharpe Rd, Fowlerville, MI 48836-8750 | 2011-12-21 |
| 1295965911 | Theracare Rehab,llc | Rehabilitation Unit | 42456 Cherry Hill Road, Canton, MI 48187-3401 | 2009-07-15 |
| 1063551281 | Universal Rehabilitation Services Inc | Rehabilitation Unit | 26250 Northwestern Hwy, Southfield, MI 48076-3903 | 2007-02-05 |
| 1023107877 | Henry Ford Health System | Rehabilitation Unit | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2006-10-12 |
| 1336235498 | Henry Ford Health System | Rehabilitation Unit | 44800 Delco Blvd, Sterling Heights, MI 48313-1026 | 2006-10-05 |
| 1801844220 | Complete Care Rehab LLC | Rehabilitation Unit | 31370 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-05-05 |
| 1477512424 | Edward W. Sparrow Hospital Association | Rehabilitation Unit | 1215 E. Michigan Avenue, Lansing, MI 48909-7980 | 2006-03-20 |
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1801866942 | St. John Hospital and Medical Center | Rehabilitation Unit | 26755 Ballard St, Harrison Twp, MI 48045-2419 | 2006-01-23 |
| 1598763385 | Tri-county Therapy Center, LLC Dba Valley Hill Therapy Center | Rehabilitation Unit | 43456 Mound Rd, Suite 500, Sterling Heights, MI 48314-2080 | 2005-07-14 |
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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.