HARMONY HEARTS VILLAGE LLC (NPI# 1225513468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225513468 |
Entity Type | Organization |
Organization Name | HARMONY HEARTS VILLAGE LLC |
Practice Address |
7773 Sherwood St Detroit MI 48211-1785 |
Practice Telephone | 3134423144 |
Mailing Telephone | 2482212493 |
Enumeration Date | 2018-10-03 |
Last Update Date | 2020-06-05 |
Authorized Official Name | SHAMARA WATKINS (PRESIDENT) |
Authorized Official Telephone | 3134423144 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
N | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
N | 385H00000X | Respite Care | Respite Care Facility | ||
N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
N | 174200000X | Meals | Other Service Providers | ||
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 251E00000X | Home Health | Agencies | ||
N | 251G00000X | Hospice Care, Community Based | Agencies | ||
N | 251J00000X | Nursing Care | Agencies | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 253Z00000X | In Home Supportive Care | Agencies | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 00000 | 05 |
Street Address |
7773 SHERWOOD ST |
City | DETROIT |
State | MI |
Zip Code | 48211-1785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528572930 | Tabatha Green | Licensed Practical Nurse | 1221 East Brand Blvd, Detroit, MI 48211 | 2017-11-21 |
1760714406 | Nathan Terey | Counselor | 5470 Chene Ave, Detroit, MI 48211 | 2010-02-05 |
1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
1497872352 | Une Sur Une Resource Services LLC | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-03-24 |
1558524884 | Rebecca Woloszyn | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-07-07 |
1902064405 | Venessa Jean Parks | Counselor | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-05-30 |
1972790459 | Nelda Kay Lejeune | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-09-28 |
1760718605 | Teena Marie Sawicki | Social Worker | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2009-10-28 |
1659672699 | Margaret Elizabeth Hudson-collins | Psychiatry & Neurology | 3501 Hamtramck Dr, Detroit, MI 48211-1400 | 2010-11-08 |
1184932766 | John A. Lyle | Psychologist | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2010-09-17 |
Find all providers in zip 48211 |
Taxonomy Code | 3104A0630X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Behavioral Disturbances |
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
Notes: [7/1/2003: new] |
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1053837922 | Raekesha Lachelle Mcmillian | Assisted Living Facility | 820 Watkins St Se, Grand Rapids, MI 49507-1345 | 2017-08-22 |
1942691191 | Stoneridge Adult Foster Care | Assisted Living Facility | 4825 Fruin Rd, Bellevue, MI 49021-8209 | 2015-02-10 |
1942605746 | D & J Home Care 3, LLC | Assisted Living Facility | 33255 26 Mile Rd, Lenox, MI 48048-2904 | 2014-10-23 |
1043614852 | D & J Home Care, Inc. | Assisted Living Facility | 5485 Smiths Creek Rd, Kimball, MI 48074-3811 | 2014-10-22 |
1689004921 | Niche Aging Center | Assisted Living Facility | 3405 E Midland Rd, Bay City, MI 48706-2825 | 2013-11-23 |
1992135313 | Bavarian Comfort Care | Assisted Living Facility | 5366 W Rolling Hills Dr, Bridgeport, MI 48722-9671 | 2013-11-21 |
1184803678 | Dianes Sweet Home,inc | Assisted Living Facility | 7750 Carpenter Rd, Ypsilanti, MI 48197-8847 | 2007-10-31 |
1760677751 | Mastrofrancesco Afc Inc | Assisted Living Facility | 18787 Ray St, Riverview, MI 48193-7428 | 2007-09-12 |
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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.