SPECTRUM COMMUNITY SERVICES (NPI# 1164577391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164577391 |
| Entity Type | Organization |
| Organization Name | SPECTRUM COMMUNITY SERVICES |
| Practice Address |
28303 Joy Rd Westland MI 48185-5524 |
| Practice Telephone | 7344588729 |
| Practice Fax Number | 7345131110 |
| Mailing Telephone | 7344588729 |
| Mailing Fax Number | 7345131110 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | BARBARA ANN FOWKES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7344588729 |
| Authorized Official Credential | MHSWA |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HUMAN SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | AS820092071 | MI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730570797 | Spectrum Community Services | Case Management | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2015-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM COMMUNITY SERVICES | 28303 Joy Rd, Westland, MI 48185-5524 |
| Street Address |
28303 JOY RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093750374 | Spectrum Human Services | Social Worker | 28303 Joy Rd, Westland, MI 48185-5524 | 2006-06-19 |
| 1811452659 | Emily Ruth Pritchett | Psychologist | 28303 Joy Rd, Westland, MI 48185-5524 | 2019-02-06 |
| 1437620978 | Christopher Yoo | Counselor | 28303 Joy Rd, Westland, MI 48185-5524 | 2018-12-10 |
| 1083101729 | Jeannine Alise Tyree | Counselor | 28303 Joy Rd, Westland, MI 48185-5524 | 2018-04-18 |
| 1043714934 | Primacare, LLC | Clinic/Center | 28303 Joy Rd, Westland, MI 48185 | 2018-03-23 |
| 1164958286 | Catherine Croft | Counselor | 28303 Joy Rd, Westland, MI 48185-5524 | 2017-05-10 |
| 1043745607 | Genise High | Case Manager/Care Coordinator | 28303 Joy Rd, Westland, MI 48185-5524 | 2017-04-20 |
| 1285097006 | Nadie Pope | Counselor | 28303 Joy Rd, Westland, MI 48185-5524 | 2016-03-30 |
| 1588045827 | Crystal Banks | Psychologist | 28303 Joy Rd, Westland, MI 48185-5524 | 2015-06-12 |
| 1437551777 | Spectrum Human Services Inc | Community/Behavioral Health | 28303 Joy Rd, Westland, MI 48185-5524 | 2014-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855123 | Hope Shores, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1383 E Maple Ave, Burton, MI 48529-2059 | 2020-03-10 |
| 1760030183 | Specially Made Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 845 E Summerfield Glen Cir, Ann Arbor, MI 48103-9161 | 2019-08-28 |
| 1033776919 | South Coast Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72633 M 43, South Haven, MI 49090-8734 | 2019-05-25 |
| 1275001448 | St. Jude's Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 509 S 22nd St, Escanaba, MI 49829-2247 | 2018-11-06 |
| 1457826315 | Northrop Loving Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17777 Northrop St, Detroit, MI 48219-2321 | 2018-10-08 |
| 1548745961 | Residential Opportunities Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 612 Landsdowne Ave, Portage, MI 49002-0556 | 2018-10-02 |
| 1134604051 | Unity Group II LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
| 1578048401 | Unity Group V LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
| 1417432337 | Unity Group IIi LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1831 Case Dr, Union City, MI 49094-9348 | 2018-09-26 |
| 1033694963 | Unity Group Iv LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Gail Ann Dr, Coldwater, MI 49036-9327 | 2018-09-26 |
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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.