# HENRY FORD HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry Ford Health Palliative Care at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609559970
- **Authorized official:** KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
- **Authorized official phone:** (248) 703-2003

## Contact information

- **Practice address:** 1 FORD PL STE 3A, DETROIT, MI 48202-3450
- **Practice address phone:** (313) 586-3230
- **Practice address fax:** (877) 293-1634
- **Mailing address:** 1 FORD PL STE 2C, DETROIT, MI 48202-3450
- **Mailing address phone:** (313) 586-3230
- **Mailing address fax:** (877) 293-1634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 03/15/2024
