Organization
ST JOSEPH MERCY HOSPITAL
Active
Parent organization
HOSPITAL AT HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AT HOME
Authorized official
MICHAEL PAUL GUSHO CFO (CFO)
(248) 858-6174
Entity
Organization
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
(734) 712-0013
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 712-3456
(312) 957-2834
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230156
MEDICARE
MI
05
—
230156
—
MI
Enumeration date
10/28/2020
Last updated
10/28/2020
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