MR. JAY ANDRE YOUNG SR.


Address: 1121 E Mcnichols Rd, Detroit, MI 48203
Phone: 3133653100

MR. JAY ANDRE YOUNG SR. (NPI# 1033362256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033362256
Entity Type Individual
Full Name MR. JAY ANDRE YOUNG SR.
Practice Address 1121 E Mcnichols Rd
Detroit
MI 48203
Mailing Address 1121 E Mcnichols Rd
Detroit
MI 48203-2857
Practice Telephone 3133653100
Mailing Telephone 3133653100
Enumeration Date 2008-10-31
Last Update Date 2011-07-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

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Office Location

Street Address 1121 E MCNICHOLS RD
City DETROIT
State MI
Zip Code 48203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043302730 John Lewis Eberhart Counselor 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2006-09-29
1487266441 Jeremiah Spears Jr. Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1740892603 Sheena Talanya Dalton Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1467060368 Diane Lassiter Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-07-16
1487262580 Kenneth Mccoy Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-07-15
1780220632 Mary Margaret Fleury Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1992341846 Roberta Wilson Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1255977104 Debra Roberts Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1952947806 Dwayne Frank Muhammad Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1821633371 April Marie Doss Counselor 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1851868582 Community Veterans Services Inc Counselor 163 Tennyson, Highland Park, MI 48203 2018-10-31
1346601838 Rainbow Center of Michigan Health Maintenance Organization 12501 Hamilton Ave., Highland Park, MI 48203 2016-03-11
1134502354 Minds Moving In New Directions Inc Community/Behavioral Health 62 Massachusetts St, Highland Park, MI 48203 2015-07-07
1811312937 Brea Holloway Home Health 20249 Yacama Rd, Detroit, MI 48203 2014-02-26
1770821795 St John Providence Health Systems Community/Behavioral Health 1150 Lantz St, Detroit, MI 48203 2013-01-25
1871845412 Waneta Darcell Dickerson Social Worker 169 W. Buena Vista, Highlandpark, MI 48203 2012-10-05
1629331939 Maureen Connolly Pediatrics 77 Victor St, Highland Park, MI 48203 2012-06-21
1578850251 Detroit Recovery Project Community/Behavioral Health 1121 East Mc Nichols, Detroit, MI 48203 2011-07-01
1265728414 Barbara Suzanne Tyson Home Health 301 Glendale St, Apt B8, Highland Park, MI 48203 2011-06-27
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700242 Best Choice Health Services, LLC Case Manager/Care Coordinator 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 2020-11-03
1013531243 Kenicka Harper Case Manager/Care Coordinator 2270 W Nine Mile Rd, Detroit, MI 48033 2020-06-03
1083243596 Kelley Grice Case Manager/Care Coordinator 4620 Haverhill St, Detroit, MI 48224-3520 2020-04-06
1316573652 Stacey Hayes Case Manager/Care Coordinator 18283 Freeland St, Detroit, MI 48235-2537 2020-03-18
1255978045 Barbara Richelle Williams Case Manager/Care Coordinator 1800 Brainard St Apt 104, Detroit, MI 48208-2863 2019-11-29
1609427376 Alexis Williams Case Manager/Care Coordinator 8828 Moffat St, Detroit, MI 48213-2909 2019-09-24
1376107136 Brittany Wright-ahmad Case Manager/Care Coordinator 888 Pallister St Apt 103, Detroit, MI 48202-2670 2019-04-26
1336609320 Emily Dozier Case Manager/Care Coordinator 65 Cadillac Sq Fl 30, Detroit, MI 48226-2844 2019-03-25
1063913457 Candiss Letice Chambers Case Manager/Care Coordinator 2712 Gratiot Ave, Detroit, MI 48207-2493 2018-02-22
1356859375 Natasha Walker Case Manager/Care Coordinator 4929 Spokane St, Detroit, MI 48204-5021 2018-01-11
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Competitor

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City DETROIT
Zip Code 48203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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