Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Henry Ford Rehabilitation Services, Warren
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CONNELLY (CFO)
(313) 876-8714
Entity
Organization
Contact information
Practice address
3601 E 11 MILE RD, WARREN, MI 48092-2878
(586) 582-9626
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(586) 498-4960
(586) 498-4936
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
82-0040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001537
E04 CAPE HEALTH
MI
01
—
010900
E21 CARELINK NETWO
MI
01
—
0726021
H71 AETNA HMO
MI
01
—
121143
H50 PREFERRED CHOI
MI
01
—
14599
E22 PERSON CENTER
MI
01
—
266564000
E20 COMM BEHAVIOR
MI
01
—
341420303
J23 MEADOWBROOK
MI
01
—
369003700
J52 US DEPT/LABOR
MI
01
—
383404533002
G01 TRI-CARE
MI
05
—
40 5170433
—
MI
01
—
49882
H45 OMNICARE
MI
01
—
55150
H61 TOTAL HEALTH CAR
MI
Enumeration date
10/12/2006
Last updated
03/17/2011
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