ASCENSION PROVIDENCE ROCHESTER HOSPITAL (NPI# 1750435962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750435962 |
| Entity Type | Organization |
| Organization Name | ASCENSION PROVIDENCE ROCHESTER HOSPITAL |
| Other Organization Name | CRITTENTON HOSPITAL MEDICAL CENTER |
| Practice Address |
1101 W University Dr Rochester MI 48307-1863 |
| Practice Telephone | 2486525000 |
| Mailing Telephone | 2486525000 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | CHRISTOPHER PALAZZOLO (PRESIDENT & CEO) |
| Authorized Official Telephone | 2486525198 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 630070 | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3136639 | 05 |
| Other Name | Type Code |
|---|---|
| Crittenton Hospital Medical Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457704850 | Ascension Providence Rochester Hospital | General Practice | 1101 W University Dr, Rochester, MI 48307-1863 | 2016-07-20 |
| 1235252321 | Ascension Providence Rochester Hospital | Nurse Anesthetist, Certified Registered | 1101 W University Dr, Rochester, MI 48307-1863 | 2007-04-06 |
| 1366565442 | Ascension Providence Rochester Hospital | Psychiatry & Neurology | 1101 W University Dr, Rochester, MI 48307-1863 | 2007-04-06 |
| 1376697581 | Ascension Providence Rochester Hospital | Psychiatric Unit | 1101 W University Dr, Rochester, MI 48307-1863 | 2007-01-23 |
| 1437176203 | Ascension Providence Rochester Hospital | General Acute Care Hospital | 1101 W University Dr, Rochester, MI 48307-1863 | 2006-07-16 |
| Street Address |
1101 W UNIVERSITY DR |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811975097 | Katia Nakahodo | Emergency Medicine | 1101 W University Dr, Rochester, MI 48307-1863 | 2006-01-06 |
| 1770190837 | Elizabeth Poikey Luoma | Nurse Anesthetist, Certified Registered | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-09-23 |
| 1578181038 | Kelash Rai | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-07-10 |
| 1700403441 | George-joseph Nahal | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-29 |
| 1225655079 | Vrushank Patel | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-27 |
| 1285250738 | Warda Zaidi | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-21 |
| 1427672245 | Hassan Ishaq | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-08 |
| 1083237085 | Inpatient Hospitalists and Internists, PC | Internal Medicine | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-05-26 |
| 1306465794 | Joshua Gorney | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-04-15 |
| 1760001150 | Jacob Scott Gorney | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
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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 |
|---|---|---|---|---|
| 1598034530 | Rochester City School District | Rehabilitation Unit | 131 W Broad St, Rochester, NY 14614-1103 | 2011-12-20 |
| 1851449714 | The Unity Hospital of Rochester | Rehabilitation Unit | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2007-01-08 |
| 1366502098 | University of Rochester | Rehabilitation Unit | 601 Elmwood Ave, Box 684, Rochester, NY 14642-0002 | 2006-12-11 |
| 1326143058 | Rochester General Hospital | Rehabilitation Unit | 1425 Portland Ave, Rochester, NY 14621 | 2006-09-14 |
| 1790751048 | Mayo Clinic Hospital-rochester | Rehabilitation Unit | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2006-02-27 |
| 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.