YVETTE HARDY PEBBLE BROOK CARE AGENCY INC (NPI# 1194212613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194212613 |
| Entity Type | Organization |
| Organization Name | YVETTE HARDY PEBBLE BROOK CARE AGENCY INC |
| Other Organization Name | PEBBLE BROOK CARE AGENCY INC |
| Practice Address |
818 Middlebelt Rd Inkster MI 48141-1105 |
| Mailing Address |
15333 Brookside Dr Van Buren Twp MI 48111-5187 |
| Practice Telephone | 3136585420 |
| Mailing Telephone | 3136585420 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | YVETTE LARONIA HARDY (DIRECTOR) |
| Authorized Official Telephone | 3136585420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Pebble Brook Care Agency Inc | Doing Business As Name - Organization |
| Street Address |
818 MIDDLEBELT RD |
| City | INKSTER |
| State | MI |
| Zip Code | 48141-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776968 | Hollywood Pharmacy Group LLP | Pharmacy | 26831 Michigan Ave, Inkster, MI 48141 | 2018-10-17 |
| 1851872279 | Gillian Margaret Clifford | Nurse Practitioner | Western Wayne Family Health Centers, 2700 Hamlin Blvd., Inkster, MI 48141 | 2018-08-23 |
| 1053805119 | Audrey K Logan | Technician/Technologist | 1403 Inkster Road, Inkster, MI 48141 | 2018-06-21 |
| 1326555830 | Catherine Marie Wahl | Student in an Organized Health Care Education/Training Program | 2700 Hamlin Drive, Inkster, MI 48141 | 2018-01-05 |
| 1659899623 | Martin Unachukwu | Licensed Practical Nurse | 3650 Farnum St., Inkster, MI 48141 | 2017-08-30 |
| 1376063669 | Orlando Robinson | In Home Supportive Care | 26144 Princeton, Inkster, MI 48141 | 2017-06-27 |
| 1518402973 | Jane Stanton | Student in an Organized Health Care Education/Training Program | 30000 Hiveley, Inkster, MI 48141 | 2016-12-21 |
| 1730538646 | Dawn Rucker | Technician, Other | 29970 Oakwood St., Inkster, MI 48141 | 2016-06-10 |
| 1861840571 | Jacqueline Nicole Kisse | Social Worker | 30000 Hiveley Road, Inkster, MI 48141 | 2016-06-03 |
| 1598134652 | Missionary Daughters of The Eternal Father | Home Health | 219 Cherry Hill Trail, Apt: 202, Inkster, MI 48141 | 2015-09-18 |
| Find all providers in zip 48141 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268371 | Dejanique M Hawkins | Social Worker | 26196 Annapolis St, Inkster, MI 48141-3280 | 2020-09-08 |
| 1275156424 | Camille Yvette Perry | Social Worker | 3616 Farnum St, Inkster, MI 48141-2021 | 2020-05-22 |
| 1720440274 | Emma Wasserman | Social Worker | 715 Inkster Rd, Inkster, MI 48141-1214 | 2016-03-23 |
| 1609286178 | Danielle Soderman | Social Worker | 1375 Inkster Rd, Inkster, MI 48141-1882 | 2014-05-05 |
| 1841430998 | Iman Hassan | Social Worker | 307 Cherry Valley Dr, Apt P15, Inkster, MI 48141-1492 | 2009-03-03 |
| 1396998415 | Stefanie Ann Hill | Social Worker | 26429 Michigan Ave, Inkster, MI 48141-2464 | 2008-11-03 |
| 1265527907 | Deborah Y R Walker | Social Worker | 26234 Dartmouth St, Inkster, MI 48141-3254 | 2006-10-04 |
| 1427027655 | Lesa M Wilson | Social Worker | 1403 Inkster Rd, Hegira Next Step Clubhouse, Inkster, MI 48141 | 2006-03-17 |
| 1013522937 | Michelle L. King | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-09-09 |
| 1710591326 | Grace Anne Conrad | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-09-01 |
| Find all providers in INKSTER | ||||
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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.