JULIE BLACK (NPI# 1215326350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215326350 |
| Entity Type | Individual |
| Full Name | JULIE BLACK |
| Practice Address |
4900 Hedgewood Dr Midland MI 48640 |
| Mailing Address |
4900 Hedgewood Dr Midland MI 48640-1928 |
| Practice Telephone | 9896319670 |
| Mailing Telephone | 9896319670 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 1215326350 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982184727 | Julie Black | Nurse Practitioner | 8008 Route 130 Ste 305, Delran, NJ 08075-1869 | 2018-08-21 |
| 1346258183 | Julie Black | Physical Therapist | 2061 Highway 52 South, Moncks Corner, SC 29461 | 2006-08-04 |
| 1851393771 | Julie Black | Physician Assistant | 255 Eastern Pkwy, Brooklyn, NY 11238-6370 | 2005-08-11 |
| 1699166330 | Julie Ann Black | Occupational Therapist | 10 Vo Tech Dr, Oil City, PA 16301-3502 | 2015-02-17 |
| 1366590192 | Julie Lynn Black | Dietitian, Registered | 1425 Portland Ave, Rochester, NY 14621-3001 | 2007-01-08 |
| Street Address |
4900 HEDGEWOOD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679518377 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2006-06-17 |
| 1427573245 | Kayla G Wakeman | Student in an Organized Health Care Education/Training Program | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2017-08-14 |
| 1386098895 | Heather Wright | Music Therapist | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2016-04-20 |
| 1356706089 | Julie Ann Carpenter | Physical Therapy Assistant | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2015-12-23 |
| 1841687837 | Kate Martin | Physical Therapy Assistant | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2015-04-17 |
| 1407253636 | Midland Opco, LLC | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2014-12-03 |
| 1922439843 | James C. Oros | Community Health Worker | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-12-02 |
| 1689005787 | Amy Danielsen | Speech-Language Pathologist | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-11-29 |
| 1093145138 | Dawn Krzyminski | Nursing Facility/Intermediate Care Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-11-26 |
| 1114357399 | Laura Giardina | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346629599 | Debreeca | Skilled Nursing Facility | 14855 Rosemont Ave, Detroit, MI 48223-2340 | 2015-05-20 |
| 1790100766 | University Homecare | Skilled Nursing Facility | 11619 Meadows Cir, Belleville, MI 48111-3182 | 2014-02-27 |
| 1750637302 | Visiting Nurse Association Inc | Skilled Nursing Facility | 25900 Greenfield Rd Ste 600, Oak Park, MI 48237-1267 | 2012-08-01 |
| 1013287242 | Premier One Staffing | Skilled Nursing Facility | 21315 Constitution St, Southfield, MI 48076-5514 | 2012-01-04 |
| 1790717536 | Trilogy Healthcare of Battle Creek LLC | Skilled Nursing Facility | 706 North Avenue, Battle Creek, MI 49017-3251 | 2006-07-06 |
Please comment or provide details below to improve the information on JULIE BLACK.
| 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.