GRADEN PROVISION OF PROMISE OUTREACH ORG (NPI# 1164795449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164795449 |
| Entity Type | Organization |
| Organization Name | GRADEN PROVISION OF PROMISE OUTREACH ORG |
| Practice Address |
2421 Sheridan Ave Saginaw MI 48601-3613 |
| Practice Telephone | 9897535477 |
| Practice Fax Number | 9897537461 |
| Mailing Telephone | 9897535477 |
| Mailing Fax Number | 9897537461 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | MR. WILLIE WALTER SMITH JR. (CEO) |
| Authorized Official Telephone | 9897535477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2421 SHERIDAN AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548712953 | Kirsten Bierlein-hollenback | Case Manager/Care Coordinator | 1000 Tuscola St, Saginaw, MI 48607-1421 | 2016-11-02 |
| 1518227362 | James Randy Sharon | Case Manager/Care Coordinator | 3830 Lamson St, Saginaw, MI 48601-4169 | 2012-05-25 |
| 1295091577 | Julie Ann Bitterman | Case Manager/Care Coordinator | 500 Hancock St., Saginaw, MI 48602 | 2012-04-11 |
| 1033405295 | Elissa Yvonne Beckham | Case Manager/Care Coordinator | 1149 Highland Station Dr, Saginaw, TX 76131-4825 | 2011-06-24 |
| 1346853173 | Miranda Croucher | Case Manager/Care Coordinator | 3353 Hospital Rd, Saginaw, MI 48603-9622 | 2020-08-31 |
| 1669099818 | Ashley Thornton | Case Manager/Care Coordinator | 3353 Hospital Rd, Saginaw, MI 48603-9622 | 2020-07-02 |
| 1790302255 | Tellis Colt Donajkowski | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-07-01 |
| 1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
| 1801416342 | Ella Marie Bost | Case Manager/Care Coordinator | 500 S Hamilton St, Saginaw, MI 48602-1511 | 2020-04-24 |
| 1437779188 | Marcie Ann Kolhagen | Case Manager/Care Coordinator | 500 S Hamilton St, Saginaw, MI 48602-1511 | 2020-04-23 |
| Find all providers in SAGINAW | ||||
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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.