COMMON GROUND (NPI# 1104249374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104249374 |
| Entity Type | Organization |
| Organization Name | COMMON GROUND |
| Practice Address |
1410 Telegraph Road Pontiac MI 48332 |
| Mailing Address |
34971 Aquarius Dr Sterling Heights MI 48310-5633 |
| Practice Telephone | 2483413780 |
| Mailing Telephone | 2485545818 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | EMILY SUZANNE PRELLBERG (REGISTERED NURSE) |
| Authorized Official Telephone | 2485545818 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 4704298086 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2222222 | 05 | |
| MI | 1111111 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837431 | Common Ground | Psychiatric Residential Treatment Facility | 1200 Telegraph Rd, Pontiac, MI 48341 | 2014-06-25 |
| 1881033686 | Common Ground | Community/Behavioral Health | 461 Huron, Ste. 100-seminole, Pontiac, MI 48149 | 2013-06-14 |
| 1114348695 | Common Ground | Psychiatric Unit | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-12-30 |
| 1346680345 | Common Ground | Health Maintenance Organization | 1410 S Telegraph Rd, Bloomfield, MI 48302-0046 | 2013-07-05 |
| 1871932129 | Common Ground | Point of Service | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-06-20 |
| 1225100944 | Common Ground | Community/Behavioral Health | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2006-11-15 |
| 1083786669 | Common Ground | Psychiatric Residential Treatment Facility | 1200 N Telegraph Rd, Bldg 32 East, Pontiac, MI 48341-1032 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Common Ground | 885 Arapahoe, Boulder, CO 80302 |
| Washington State Corporations | COMMON GROUND | 419 Occidental Ave S, #504, Seattle, WA 98104 |
| System for Award Management (SAM) Entities | COMMON GROUND | 7720 Schelhorn Rd, Alexandria, VA 22306-2822 |
| New York State Corporations | COMMON GROUND ADVENTURES, INC. | P.o. Box 292, 73 Upper Stage Coach Road, Berlin, Ny 12022 |
| Colorado Business Entities | Common Ground Advising, LLC | 10602 E. Nacoma Dr, Sun Lakes, AZ 85248 |
| New York State Corporations | COMMON GROUND APPAREL & ACCESSORIES, INC. | 435 West 57th Street, Apt. 8d, New York, New York 10019 |
| Colorado Business Entities | Common Ground Behavioral Services LLC | 4515 Lasater Trl., Colorado Springs, CO 80922 |
| Washington State Corporations | COMMON GROUND BISTRO, LLC | 1709 Hewitt Ave, Everett, WA 98201 |
| Oregon Corporations, Companies and Business Names | COMMON GROUND BROADCASTING, INC. | 6400 Se Lake Road Ste 350, Portland, OR 97222 |
| Vermont Business Registrations | COMMON GROUND BUILDING AND LANDSCAPING, INC. | 2621 Us Rt 2, North Hero, VT 05474 |
| Street Address |
1410 TELEGRAPH ROAD |
| City | PONTIAC |
| State | MI |
| Zip Code | 48332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649352543 | Mark J Ziadeh | Physical Medicine & Rehabilitation | 23332 Farmington Road, #1120, Farmington Hills, MI 48332 | 2006-10-19 |
| 1801323506 | Ability Medical Group Pllc | Physical Medicine & Rehabilitation | 23332 Farmington Road, #1120, Farmington Hills, MI 48332 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1275131112 | Kimberly Ann Walker | Adult Companion | 452 Bay St, Pontiac, MI 48342-1912 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1073120929 | A Caring Hands Home Care LLC | Home Health | 713 Desota Pl, Pontiac, MI 48342-1620 | 2020-09-24 |
| 1063028363 | Ashley Nichole Frizzell | Social Worker | 310 E Howard St, Pontiac, IL 61764-2033 | 2020-09-22 |
| 1528670254 | Myeya Jernagin | Home Health Aide | 53 1/2 W Huron St Ste 221, Pontiac, MI 48342-2121 | 2020-08-24 |
| 1508478579 | Oakland Integrated Healthcare Network | Clinic/Center | 1200 N Telegraph Rd Bldg 34, Pontiac, MI 48341-1032 | 2020-08-20 |
| 1558988733 | Neidra P Dowe | Home Health | 308 Raeburn St, Pontiac, MI 48341-3050 | 2020-07-03 |
| Find all providers in PONTIAC | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837431 | Common Ground | Psychiatric Residential Treatment Facility | 1200 Telegraph Rd, Pontiac, MI 48341 | 2014-06-25 |
| 1295082188 | Hope Network Genesee Regional Cru | Psychiatric Residential Treatment Facility | 70 Lafayette St, Pontiac, MI 48342-2033 | 2012-08-09 |
| 1083786669 | Common Ground | Psychiatric Residential Treatment Facility | 1200 N Telegraph Rd, Bldg 32 East, Pontiac, MI 48341-1032 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| 1881961498 | The Meadows Specialized Residential Program | Psychiatric Residential Treatment Facility | 55377 Walterspaugh Rd, Mendon, MI 49072-9545 | 2011-11-27 |
| 1164753828 | Is-care Cls, Inc. | Psychiatric Residential Treatment Facility | 1777 N Rademacher St, Detroit, MI 48209-2049 | 2010-01-20 |
| 1518129295 | Advance Care Incorporated | Psychiatric Residential Treatment Facility | 34932 Ecorse Rd, Romulus, MI 48174-1642 | 2008-06-25 |
| 1356511372 | Detroit Behavioral Institute, LLC | Psychiatric Residential Treatment Facility | 3500 John R St, Detroit, MI 48201-2402 | 2008-03-05 |
| 1245375823 | D & M Consultants, Inc | Psychiatric Residential Treatment Facility | 25071 West Ten Mile Road, Southfield, MI 48033 | 2007-02-21 |
| 1578582672 | Ccs/lansing, Inc | Psychiatric Residential Treatment Facility | 101 W Townsend Rd, Saint Johns, MI 48879-9200 | 2006-07-19 |
| 1154781615 | Detroit Vamc | Psychiatric Residential Treatment Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2016-02-26 |
| 1710351598 | Eagle Village | Psychiatric Residential Treatment Facility | 4507 170th Ave, Hersey, MI 49639-8785 | 2015-11-17 |
| 1407228091 | Cynthia Lajoice Ford | Psychiatric Residential Treatment Facility | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2015-10-22 |
| Find all providers with the same taxonomy | ||||
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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.