INTEGRATIVE HOME HEALTH PALLIATIVE & HOSPICE CARE, LLC (NPI# 1174949770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174949770 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE HOME HEALTH PALLIATIVE & HOSPICE CARE, LLC |
| Practice Address |
1707 Campau Farms Cir Detroit MI 48207-5169 |
| Practice Telephone | 2486131221 |
| Mailing Telephone | 2486131221 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |
| Authorized Official Name | MR. JEFFERSON DAVIS RIDGEWAY III (PRESIDENT/CEO) |
| Authorized Official Telephone | 2486131221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1707 CAMPAU FARMS CIR |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-5169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| 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 |
|---|---|---|---|---|
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1467069286 | A Loving Touch Homecare Service LLC | Home Health | 7326 Roland St, Detroit, MI 48213-1011 | 2020-09-25 |
| 1578173720 | Deandre Shaw | Home Health | 9513 Beaconsfield St, Detroit, MI 48224-2849 | 2020-08-03 |
| 1639787716 | Brittany Care Services | Home Health | 19753 Appoline St, Detroit, MI 48235-1116 | 2020-07-15 |
| 1922616150 | Happy At Home LLC | Home Health | 14903 Artesian St, Detroit, MI 48223-2283 | 2020-07-14 |
| 1508489477 | Mostafa Galdi | Home Health | 6767 Saint Marys St, Detroit, MI 48228-3760 | 2020-05-26 |
| 1811518418 | Team Veteran,llc | Home Health | 19135 Van Dyke St, Detroit, MI 48234-3347 | 2020-05-05 |
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1932739752 | Lucy Cares Home Health Care LLC | Home Health | 3651 Buckingham Ave, Detroit, MI 48224-3534 | 2020-01-21 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on INTEGRATIVE HOME HEALTH PALLIATIVE & HOSPICE CARE, LLC.
| 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.