Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Henry Ford Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. ELLIS RN (VICE PRESIDENT)
(313) 874-6549
Entity
Organization
Contact information
Practice address
21298 MELROSE AVE, SOUTHFIELD, MI 48075-7901
(248) 827-3370
(248) 827-7234
Mailing address
21298 MELROSE AVE, SOUTHFIELD, MI 48075-7901
(248) 827-3370
(248) 827-7234
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301005157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2579867
—
MI
05
—
2672638
—
MI
01
—
MI15863
MEDICARE HIT CERTIFICATION
—
Enumeration date
12/23/2005
Last updated
08/08/2025
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