CENTRIA HEALTHCARE LLC (NPI# 1053641498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053641498 |
| Entity Type | Organization |
| Organization Name | CENTRIA HEALTHCARE LLC |
| Practice Address |
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5326 |
| Practice Telephone | 2482990030 |
| Mailing Telephone | 2482990030 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | MR. CHRISTOPHER MICHAEL WILCOX (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2482990030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730586710 | Centria Healthcare LLC | Clinic/Center | 19855 Outer Dr, Suite 101, Dearborn, MI 48124-2022 | 2014-11-19 |
| 1093112070 | Centria Healthcare LLC | Clinic/Center | 13101 Allen Rd, Building #5, Southgate, MI 48195-2216 | 2014-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRIA HEALTHCARE LLC | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 |
| Virginia Business Entities | Centria Healthcare LLC | 27777 Inkster Road, Suite 100, Farmington Hills, Michigan 48334 |
| Colorado Business Entities | Centria Healthcare LLC | 27777 Inkster Rd., Ste. 100, Farmington Hills, MI 48334 |
| Washington State Corporations | CENTRIA HEALTHCARE LLC | 4816 Aurora Ave N, Seattle, WA 98103 |
| Oregon Corporations, Companies and Business Names | CENTRIA HEALTHCARE LLC | 27777 Inkster, Suite 100, Farmington Hills, MI 48334 |
| Indiana Business Entities | CENTRIA HEALTHCARE LLC | 41521 W 11 Mile Rd, Novi, MI 48375 |
| New York State Corporations | CENTRIA HEALTHCARE LLC | One Commerce Plaza, 99 Washington Avenue Ste 805-a, Albany, Ny 12210 |
| Street Address |
27777 INKSTER RD STE 100 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558568758 | Beverly Lax-floyd | Technician, Other | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 | 2007-06-29 |
| 1881295699 | Charles Malik Key | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1790386621 | Jada Moraca | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1023619889 | Christopher Leroi | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1053912972 | Amanda Mccartney | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1437750205 | Daris D Kinney | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1073114914 | Andrea Guillen Villegas | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1376144352 | Kathryn Marie Lee | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-05 |
| 1467053439 | Dawn Davidson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-05 |
| 1952902967 | Mylia Patwin | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1982243960 | 7 Sky Home Health Care Inc | Home Health | 27600 Farmington Rd Ste 201, Farmington Hills, MI 48334-3365 | 2019-12-23 |
| 1912540774 | Tdlss LLC | Home Health | 36520 Grand River Ave Ste 103, Farmington Hills, MI 48335-3014 | 2019-10-24 |
| 1093374928 | Truth Home Healthcare | Home Health | 39248 Polo Club Dr. Apt 104, Farmington Hills, MI 48335 | 2019-06-13 |
| 1497314983 | Franchesca Stacks | Home Health | 39248 Polo Club Dr Apt 104, Farmington Hills, MI 48335-5631 | 2019-06-10 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1003373010 | Metcare Inc. | Home Health | 33505 W 14 Mile Rd Ste 60, Farmington Hills, MI 48331-1588 | 2019-02-26 |
| 1386108165 | American Home Health Professionals | Home Health | 30800 Northwestern Hwy # 110b, Farmington Hills, MI 48334-2569 | 2019-01-25 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1558711564 | Cakreshia Denise Reed | Home Health | 22039 Atlantic Pointe, Farmington Hills, MI 48336-4306 | 2016-06-21 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.