HENRY FORD EXTENDED CARE
NPI 1073851713
In Home Supportive Care in Detroit, MI

NPI Status: Active since January 30, 2013

Contact Information

1 FORD PL STE 4C
DETROIT, MI
ZIP 48202
Phone: (313) 874-6583
Fax: (313) 874-6177

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 23D0862746
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-31-2026

About HENRY FORD EXTENDED CARE

This page provides the complete NPI Profile along with additional information for Henry Ford Extended Care, a provider established in Detroit, Michigan operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1073851713 assigned on January 2013. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Henry Ford Extended Care. The authorized official of this NPI record is Mr. Michael S. Ellis Rn (Vice President)

NPI
1073851713
Provider Legal Name
HENR Y FORD HEALTH SYSTEM
Other Organization Name
HENRY FORD EXTENDED CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 FORD PL STE 4C DETROIT, MI 48202
Location Phone
(313) 874-6583
Location Fax
(313) 874-6177
Mailing Address
1 FORD PL STE 4C DETROIT, MI 48202
Mailing Phone
(313) 874-6583
Mailing Fax
(313) 874-6177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2013
Last Update Date
08-08-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL S. ELLIS RN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(313) 874-6500

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0862746
Facility Type
Home Health Agency
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MICHAEL S. ELLIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Henry Ford Extended Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073851713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 6 + 5 + 2 + 7 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073851713.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Home Health
1 FORD PL STE 4C
DETROIT, MI 48202
Hospice Care, Community Based
1 FORD PL STE 4C
DETROIT, MI 48202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073851713, enumerated as an "organization" on January 30, 2013.

The provider is located at 1 FORD PL STE 4C DETROIT, MI 48202 and the phone number is (313) 874-6583.

In Home Supportive Care with taxonomy code 253Z00000X.