HENRY FORD HEALTH SYSTEM MAPLEGROVE CENTER (NPI# 1952510182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952510182 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM MAPLEGROVE CENTER |
| Practice Address |
6773 W Maple Rd West Bloomfield MI 48322-3013 |
| Practice Telephone | 2486616100 |
| Practice Fax Number | 2487883177 |
| Mailing Telephone | 2486616100 |
| Mailing Fax Number | 2487883177 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANNA CATHERINE SEKULICH (BEHAVIORAL HEALTH THERAPIST) |
| Authorized Official Telephone | 2487883018 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
6801086544 | MI | Ambulatory Health Care Facilities |
| Street Address |
6773 W MAPLE RD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040262 | Blake Angove | Social Worker | 6773 W Maple Rd, Maplegrove Center, West Bloomfield, MI 48322-3013 | 2005-08-11 |
| 1679135123 | Justina A Nzums | Nurse Practitioner | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-07-05 |
| 1154806362 | Toni Broden | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-10-03 |
| 1033541636 | Lisa Weingarden Kaplan | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-08-06 |
| 1689979817 | Betty Jean Weymouth-conger | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2011-01-19 |
| 1568788164 | Christine Victoria Reeves | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2010-04-08 |
| 1922331305 | Daniel Sanborn | Nurse Anesthetist, Certified Registered | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2009-09-16 |
| 1134225758 | Elizabeth Bradford | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-09-15 |
| 1295767630 | Henry Ford Maplegrove Center | Substance Abuse Rehabilitation Facility | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-07-07 |
| 1609849868 | Philip Alain Gilly | Family Medicine | 6773 W Maple Rd, Henry Ford Maplegrove Center, West Bloomfield, MI 48322-3013 | 2006-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032534 | Aim Recovery LLC | Clinic/Center | 34290 Ford Rd, Westland, MI 48185-3051 | 2020-01-10 |
| 1679135438 | Salvation Army | Clinic/Center | 72 Sheldon Ave Se, Grand Rapids, MI 49503-4234 | 2019-07-02 |
| 1194282889 | Saginaw Odyssey House, Inc. | Clinic/Center | 1241 N Michigan Ave, Saginaw, MI 48602-4729 | 2019-02-28 |
| 1093210551 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 2424 W Washington Ave Ste 100, Jackson, MI 49203-1236 | 2018-03-27 |
| 1861862641 | Michigan Forensic Intervention Services | Clinic/Center | 21821 Lakeview St, Saint Clair Shores, MI 48080-4057 | 2015-10-06 |
| 1396149068 | Crc Recovery, Inc. | Clinic/Center | 522 South Maple Road, Ann Arbor, MI 48103-3837 | 2014-10-09 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1962606632 | St Johns Home | Clinic/Center | 2355 Knapp St Ne, Grand Rapids, MI 49505-4415 | 2007-06-14 |
| 1699981498 | West Michigan Therapy Inc | Clinic/Center | 130 E Apple Ave, Muskegon, MI 49442-3405 | 2007-05-16 |
| 1982810024 | Community Healing Center | Clinic/Center | 816 East Michigan Ave, Suite 103, Paw Paw, MI 49079-1215 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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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.