SACRED HEART
NPI 1043314347
Substance Abuse Rehabilitation Facility in Kimball, MI

Q: What is Sacred Heart's NPI number?

The NPI number for Sacred Heart is 1043314347. It was assigned to this organization in the NPPES registry on September 8, 2006.

Q: What is Sacred Heart's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Sacred Heart was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2006CLIA 23D0369555 · Waiver

1910 DITTY RD, KIMBALL, MI 48074(810) 367-6408 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About Sacred Heart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED HEART (NPI 1043314347) is a healthcare organization registered as a substance abuse rehabilitation facility in Kimball, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Donna Myer, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1043314347

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSACRED HEART

Location Address1910 DITTY RDKimball, MI 48074

Mailing Address1910 Ditty RdKimball, MI 48074-2408 · (810) 367-6408

Phone(810) 367-6408

Organization SubpartNo

Authorized OfficialDonna MyerHuman Resources · (810) 392-2167

Enumeration DateSeptember 8, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1043314347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in MI · 500044

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

1910 DITTY RD, Kimball, MI 48074

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0369555

Sacred Heart Rehabilitation Center · Memphis, MI

Active · expires Aug 31, 2026

CLIA Number23D0369555

Laboratory TypeOther

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorTheresa F. Ruff

Laboratory Phone(810) 392-2167

Laboratory LocationSacred Heart Rehabilitation Center400 Stoddard Road, Memphis, MI 48041

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Heart's NPI number?

The NPI number for Sacred Heart is 1043314347. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Sacred Heart located?

Sacred Heart is located at 1910 Ditty Rd, Kimball, MI 48074. The listed phone number is (810) 367-6408.

What is Sacred Heart's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Sacred Heart hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0369555) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Heart was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.