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ST. JOHN HOSPITAL AND MEDICAL CENTER
NPI 1205986411
Long Term Care Hospital in Detroit, MI

Active since January 11, 2007
22101 MOROSS RD, DETROIT, MI 48236(313) 343-3497(313) 417-2967 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About St. John Hospital And Medical Center NPPES

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

ST. JOHN HOSPITAL AND MEDICAL CENTER (NPI 1205986411) is a healthcare organization registered as a long term care hospital in Detroit, Michigan and active in the NPI registry since January 2007. The organization lists Kim Lee Mccullen, Neonatal Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1205986411
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameST. JOHN HOSPITAL AND MEDICAL CENTER
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address21183 Kenmore AveHarper Woods, MI 48225-1705 · (313) 886-4257
Phone(313) 343-3497
Fax(313) 417-2967
Organization SubpartNo
Authorized OfficialKim Lee MccullenNeonatal Nurse Practitioner · (313) 343-3497
Enumeration DateJanuary 11, 2007
Last NPPES UpdateFebruary 24, 2009
✔ NPI 1205986411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License✔ Licensed in MI · 4704207081
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
22101 MOROSS RD, Detroit, MI 48236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DECAROLIS LMSW, ACSW
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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 St. John Hospital And Medical Center's NPI number?

The NPI number for St. John Hospital And Medical Center is 1205986411. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is St. John Hospital And Medical Center located?

St. John Hospital And Medical Center is located at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-3497.

What is St. John Hospital And Medical Center's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

When was this NPI record last updated?

The NPPES record for St. John Hospital And Medical Center was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.