SACRED HEART REHABILITATION CENTER, INC (NPI# 1942510516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942510516 |
| Entity Type | Organization |
| Organization Name | SACRED HEART REHABILITATION CENTER, INC |
| Practice Address |
28303 Dequindre Rd Madison Heights MI 48071-3040 |
| Mailing Address |
1400 E 12 Mile Rd Madison Heights MI 48071-2651 |
| Practice Telephone | 2486581116 |
| Practice Fax Number | 2486581120 |
| Mailing Telephone | 8103922167 |
| Mailing Fax Number | 8103923530 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | MR. PAULA NELSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8103922167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 631337 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | SA631337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649706045 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2017-05-04 |
| 1700278454 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 1096 S Belsay Rd, Suite C, Burton, MI 48509-1948 | 2015-03-04 |
| 1548670391 | Sacred Heart Rehabilitation Center, Inc | Substance Abuse Rehabilitation Facility | 6418 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2014-05-02 |
| 1821422262 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 7057 N Clio Rd, Suite 4, Mount Morris, MI 48458-8261 | 2013-08-21 |
| 1710153960 | Sacred Heart Rehabilitation Center, Inc | Substance Abuse Rehabilitation Facility | 17131 Gitre St, Detroit, MI 48205-3161 | 2008-05-07 |
| 1780882480 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2007-07-05 |
| 1891828158 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 1406 8th St, Port Huron, MI 48060-5804 | 2007-03-14 |
| 1104959493 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 2091 Professional Dr Ste I-1, Flint, MI 48532-3657 | 2007-03-14 |
| 1467585745 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 5575 Conner St, Detroit, MI 48213-6400 | 2007-03-14 |
| Street Address |
28303 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437388 | Kehinde Awofala | Dentist | 28303 Dequindre Rd, Ste 130, Madison Heights, MI 48071-3040 | 2005-06-15 |
| 1760082762 | Brian P Frick | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2020-10-28 |
| 1093315525 | Corrie Pry | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2020-10-26 |
| 1700404225 | Mary Ann Daniel | Social Worker | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2020-07-10 |
| 1700429420 | Nicole Ann Allen | Psychologist | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2019-10-25 |
| 1710463633 | Robin Suzanne Mccoy | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2018-07-13 |
| 1972012052 | Matthew A Sroufe | Peer Specialist | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2017-09-21 |
| 1528312667 | Ginetta Marie Hardy | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2012-10-27 |
| 1477805463 | The Mindful Self, LLC | Psychologist | 28303 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3040 | 2012-10-15 |
| 1881882140 | Swift Home Care LLC | Home Health | 28303 Dequindre Rd, 120, Madison Heights, MI 48071-3040 | 2007-10-11 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594284 | Betty J Thack Ma Pllc | Community/Behavioral Health | 711 West Thirteen Mile Rd, Betty Thack Ma Lpc, Madison Heights, MI 48071 | 2015-12-17 |
| 1528473766 | Child Safe Michigan | Community/Behavioral Health | 30680 Montpelier Dr, Suite 250, Madison Heights, MI 48071-1802 | 2014-06-26 |
| 1225339906 | Tri-county Counseling Services LLC | Community/Behavioral Health | 711 W 13 Mile Rd, Suite 100, Madison Heights, MI 48071-1806 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.