OAKWOOD HEALTHCARE INC (NPI# 1821310806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821310806 |
| Entity Type | Organization |
| Organization Name | OAKWOOD HEALTHCARE INC |
| Other Organization Name | OAKWOOD OUTPATIENT DIALYSIS CENTER |
| Practice Address |
18100 Oakwood Blvd Suite 206 Dearborn MI 48124-4085 |
| Mailing Address |
26901 Beaumont Blvd. Compliance Southfield MI 48033-4716 |
| Practice Telephone | 3134387969 |
| Practice Fax Number | 3134387960 |
| Mailing Telephone | 9475221963 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | CAROLYN S. WILSON (EVP & COO) |
| Authorized Official Telephone | 9475223338 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAKWOOD HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
820120 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CCN 23-2351 | 23-2351 | 01 |
| Other Name | Type Code |
|---|---|
| Oakwood Outpatient Dialysis Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980771 | Oakwood Healthcare Inc | Pharmacy | 10000 Telegraph Suite, Suite 115a, Taylor, MI 48180 | 2015-04-20 |
| 1952323867 | Oakwood Healthcare Inc | Pharmacy | 7330 Canton Center Rd, Ste 115, Canton, MI 48187-1538 | 2006-07-24 |
| 1437761418 | Oakwood Healthcare Inc | Hospice Care, Community Based | 26901 Beaumont Blvd., Ste 169, 1-d, Southfield, MI 48033-4617 | 2020-08-20 |
| 1083272686 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1598323172 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1417515016 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health, D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1346806130 | Oakwood Healthcare Inc | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1700016334 | Oakwood Healthcare Inc | Pharmacy | 33155 Annapolis St, Wayne, MI 48184-2405 | 2009-07-16 |
| 1548404973 | Oakwood Healthcare Inc | General Acute Care Hospital | 5450 Fort St, Trenton, MI 48183-4601 | 2009-04-29 |
| 1275777690 | Oakwood Healthcare Inc | General Acute Care Hospital | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2009-04-29 |
| Street Address |
18100 OAKWOOD BLVD SUITE 206 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578535142 | Lawrence G Morawa | Orthopaedic Surgery | 18100 Oakwood Blvd, 300, Dearborn, MI 48124-4085 | 2006-02-07 |
| 1992110522 | Michelle T Leonard | Psychologist | 18100 Oakwood Blvd, C/o Michelle Leonard, Dearborn, MI 48124-4085 | 2014-06-23 |
| 1801215959 | Lassen Dialysis LLC | Clinic/Center | 18100 Oakwood Blvd, Ste 206, Dearborn, MI 48124-4085 | 2014-04-15 |
| 1851630206 | University Physician Group | Occupational Therapist | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2013-02-05 |
| 1992044598 | University Physician Group | Prosthetic/Orthotic Supplier | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2013-02-04 |
| 1073878682 | Tiona Kimisha Stephens | Internal Medicine | 18100 Oakwood Blvd, Site 01 Medical Education, Dearborn, MI 48124-4085 | 2012-07-10 |
| 1598052441 | Geoffrey Alan Potts | Dermatology | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2011-06-29 |
| 1346565355 | Mariana Dimovski Atanasovski | Dermatology | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4089 | 2010-04-01 |
| 1114257540 | Dynamic Urocare PC | Urology | 18100 Oakwood Blvd, Ste 315, Dearborn, MI 48124-4085 | 2010-01-07 |
| 1023248085 | Violet Asfour | Internal Medicine | 18100 Oakwood Blvd, Dearborn, MI 48124-4085 | 2009-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568482958 | Henry Ford Health System | Clinic/Center | 19001 Hubbard Dr, Dearborn, MI 48126-2637 | 2006-07-20 |
| 1114962925 | East Dearborn Dialysis LLC | Clinic/Center | 13200 W Warren Ave, Dearborn, MI 48126-1415 | 2006-06-17 |
| 1962463463 | Dva Healthcare Renal Care Inc | Clinic/Center | 1185 Monroe St, Dearborn, MI 48124-2814 | 2006-04-01 |
| 1699275487 | Bio Medical Applications of Michigan Inc | Clinic/Center | 5250 Auto Club Dr, Dearborn, MI 48126-2619 | 2018-02-19 |
| 1619386489 | Lassen Dialysis, LLC | Clinic/Center | 22030 Park St, Dearborn, MI 48124-2854 | 2014-08-06 |
| 1801215959 | Lassen Dialysis LLC | Clinic/Center | 18100 Oakwood Blvd, Ste 206, Dearborn, MI 48124-4085 | 2014-04-15 |
| 1356783724 | Dearborn Kidney Center LLC | Clinic/Center | 5111 Auto Club Dr, Suite 120, Dearborn, MI 48126-2684 | 2013-07-25 |
| 1164743845 | Renal Treatment Centers Illinois Inc | Clinic/Center | 13200 W Warren Ave, Dearborn, MI 48126-2410 | 2010-06-17 |
| 1689833956 | Dva Healthcare Renal Care Inc | Clinic/Center | 22030 Park St, Dearborn, MI 48124-2854 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
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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.