Healthcare Provider Details

I. General information

NPI: 1508938127
Provider Name (Legal Business Name): AAHI ST JOSEPH MERCY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 EAST HURON RIVER DRIVE
ANN ARBOR MI
48106
US

IV. Provider business mailing address

PO BOX 3470
FARMINGTON HILLS MI
48333-3470
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-2492
  • Fax: 734-712-5465
Mailing address:
  • Phone: 248-305-7985
  • Fax: 248-305-8677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number5301001628
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5301001628
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: ARIANA GRACE RAYMOND
Title or Position: MANAGER PROVIDER ENROLLMENT
Credential:
Phone: 734-343-1466