PREMIER SERVICES OF MICHIGAN, LLC (NPI# 1215257415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215257415 |
| Entity Type | Organization |
| Organization Name | PREMIER SERVICES OF MICHIGAN, LLC |
| Other Organization Name | PREMIER CARE DEARBORN HEIGHTS |
| Practice Address |
25639 Ford Rd Dearborn Heights MI 48127-4817 |
| Practice Telephone | 3132773293 |
| Practice Fax Number | 3135322773 |
| Mailing Telephone | 3132773293 |
| Mailing Fax Number | 3135322773 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | CHARLES FEESE (PRINCIPAL) |
| Authorized Official Telephone | 3146022319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Premier Care Dearborn Heights | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043507502 | Premier Services of Michigan, LLC | Community/Behavioral Health | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2011-07-06 |
| 1306098801 | Premier Services of Michigan, LLC | Clinic/Center | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2008-10-15 |
| Street Address |
25639 FORD RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033250717 | Duane Sharpe | Social Worker | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-02-08 |
| 1952946162 | Deidra Michele Scott | Licensed Practical Nurse | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2019-11-12 |
| 1003389081 | Harpreet Kaur Grewal | Nurse Practitioner | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2019-01-02 |
| 1043507502 | Premier Services of Michigan, LLC | Community/Behavioral Health | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2011-07-06 |
| 1194858829 | Robert Beaser | Counselor | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-03-13 |
| 1700916665 | Gwendolyn Warren | Counselor | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-03-07 |
| 1891836599 | Grace Mallett | Social Worker | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631142 | Access | Community/Behavioral Health | 4140 Campbell St, Dearborn Heights, MI 48125-2721 | 2016-06-27 |
| 1497928816 | Vista Maria Good Shepherd | Community/Behavioral Health | 20651 West Warren, Dearborn Heights, MI 48127 | 2008-04-07 |
| 1043507502 | Premier Services of Michigan, LLC | Community/Behavioral Health | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2011-07-06 |
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| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
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| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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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.