CENTRIA HEALTHCARE (NPI# 1144672650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144672650 |
| Entity Type | Organization |
| Organization Name | CENTRIA HEALTHCARE |
| Practice Address |
17591 Santa Rosa Dr Detroit MI 48221-2644 |
| Practice Telephone | 3132059490 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | MONNISE JENNINGS (BEHAVIORAL TECHNICIAN) |
| Authorized Official Telephone | 3132059490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | ========= | MI | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437603578 | Centria Healthcare | Case Management | 2848 Clement St, Flint, MI 48504-3028 | 2016-08-06 |
| 1306399464 | Centria Healthcare | Case Management | 11310 Balfour Rd, Detroit, MI 48224-1111 | 2016-07-25 |
| 1881046217 | Centria Healthcare | Community/Behavioral Health | 3813 Clotell Dr, Fort Worth, TX 76119-7742 | 2016-07-09 |
| 1699127621 | Centria Healthcare | Community/Behavioral Health | 11051 Sandy Oak Trl, Cedar Springs, MI 49319-9238 | 2016-07-01 |
| 1518313246 | Centria Healthcare | Technician, Other | 1477 Burke Ave Ne Apt B, Grand Rapids, MI 49505-5366 | 2016-05-12 |
| 1669864484 | Centria Healthcare | Case Management | 17361 Prest St, Detroit, MI 48235-3731 | 2015-03-03 |
| 1649677873 | Centria Healthcare | Clinic/Center | 7893 Harding St, Taylor, MI 48180-2535 | 2014-12-03 |
| 1942623871 | Centria Healthcare | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2014-01-29 |
| 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 |
| Street Address |
17591 SANTA ROSA DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952889743 | Myesha Gibson Wilson | Technician, Other | 22457 Kendall St, Detroit, MI 48223-2542 | 2018-08-02 |
| 1871071647 | Deidre Flowers | Technician, Other | 6776 Stahelin Ave # 23, Detroit, MI 48228-3465 | 2018-08-02 |
| 1750828489 | Charneil Tuggle | Technician, Other | 19017 Pierson St, Detroit, MI 48219-2517 | 2017-01-19 |
| 1720523293 | Eno Esu | Technician, Other | 8136 Appoline St, Detroit, MI 48228-4002 | 2016-12-20 |
| 1710420195 | Cassandra Wells | Technician, Other | 11691 Beaverland, Detroit, MI 48239-1358 | 2016-12-02 |
| 1306389945 | Arnesha Bernice Jennings | Technician, Other | 19210 Robson St, Detroit, MI 48235-1949 | 2016-11-30 |
| 1962945444 | Diane Christiine Issa | Technician, Other | 5081 Garland St, Detroit, MI 48213-3366 | 2016-11-30 |
| 1164974358 | Xavier Robertson | Technician, Other | 18451 Northlawn St, Detroit, MI 48221-2019 | 2016-11-04 |
| 1518418631 | Luebertha Mcclellan | Technician, Other | 15346 Dexter Ave, Detroit, MI 48238-2127 | 2016-10-24 |
| 1558812891 | Tommie D Dotson | Technician, Other | 19360 Renfrew Rd, Detroit, MI 48221-1836 | 2016-10-21 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on CENTRIA HEALTHCARE.
| 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.