GREGORY LAMONT RICHARDSON JR. (NPI# 1043725450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043725450 |
Entity Type | Individual |
Full Name | GREGORY LAMONT RICHARDSON JR. |
Practice Address |
4401 Conner St Detroit MI 48215-2201 |
Practice Telephone | 3132734111 |
Mailing Telephone | 3132734111 |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467008565 | Gregory Mance Richardson | Specialist/Technologist | 5232 Ne 18th Ave, Pompano Beach, FL 33064-5626 | 2019-08-14 |
1912192881 | Gregory G Richardson | Hearing Instrument Specialist | 6709 Brockton Ave, Riverside, CA 92506-3023 | 2007-09-13 |
1952529364 | Gregory L Richardson | Dentist | 2606 Iron Gate Drive, Suite 101, Wilmington, NC 28412 | 2007-04-23 |
1215095773 | Gregory V. Richardson | Psychiatry & Neurology | 505 N. Wabash Ave, Marion, IN 46952 | 2006-12-05 |
1386682508 | Gregory Phillip Richardson | Chiropractor | 564 Ridge Rd E, Suite 209, Rochester, NY 14621-1233 | 2006-06-02 |
1811994221 | Gregory B Richardson | Specialist | 1100 10th St, Alamogordo, NM 88310-6414 | 2005-06-30 |
1245891902 | Gregory Willett Richardson | Occupational Therapy Assistant | 7540 N 19th Ave, Phoenix, AZ 85021-7967 | 2019-06-24 |
1710326038 | Gregory Richardson | Emergency Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2013-06-19 |
1760768261 | Gregory Richardson | Pharmacist | 2909 Murfreesboro Pike, Antioch, TN 37013-2227 | 2011-10-27 |
1568473445 | Gregory John Richardson | Counselor | 36250 Dequindre Rd, Suite 310, Sterling Heights, MI 48310-7143 | 2006-08-10 |
Street Address |
4401 CONNER ST |
City | DETROIT |
State | MI |
Zip Code | 48215-2201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144318924 | Chantal Georges | Pharmacist | 4401 Conner St, Detroit, MI 48215-2201 | 2006-10-10 |
1669023057 | Latoya Nicole Cosey | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2019-09-26 |
1912412032 | Charllita Charmaine Rodgers | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-12 |
1770098907 | Tawana Nicole Carter | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-11 |
1912412438 | Marquita Jones | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-06 |
1962917476 | Shondra Tinsley | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-06 |
1689189136 | Candsi E-nae Mcceary | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-06 |
1720593254 | Delisha Melvinia Montgomery | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-06 |
1508371063 | Sandra Annette Patterson | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-06 |
1780199216 | Michael C Brown | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
Find all providers in zip 48215 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
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1952871261 | Karl Patrick Sr. | Technician | 17133 Mendota St, Detroit, MI 48221-2306 | 2018-11-29 |
1326549148 | Shenicak Kujuana Davis | Technician | 16434 Constance Ave, Detroit, MI 48228-4311 | 2018-02-27 |
1831603059 | Excellent Inc. | Technician | 20200 Stratford Rd, Detroit, MI 48221-1380 | 2017-11-27 |
1407397102 | Richard Jones-weems | Technician | 20540 Picadilly Rd, Detroit, MI 48221-1370 | 2017-03-14 |
1376925156 | Aneisha Thurman | Technician | 5279 Cadieux Rd, Detroit, MI 48224-2111 | 2015-06-29 |
1578105961 | Raynard Brett Smith | Technician | 1423 Field St, Detroit, MI 48214-2321 | 2019-10-17 |
1912412032 | Charllita Charmaine Rodgers | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-12 |
1770098907 | Tawana Nicole Carter | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-11 |
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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.