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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