JACQUELYN WILLIAMS (NPI# 1245779115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245779115 |
| Entity Type | Individual |
| Full Name | JACQUELYN WILLIAMS |
| Practice Address |
2841 32nd St Se Kentwood MI 49512-1755 |
| Practice Telephone | 6168856466 |
| Practice Fax Number | 6162724591 |
| Mailing Fax Number | 6162724591 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS410384414 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316184484 | Jacquelyn Deneen Williams | Social Worker | 501 N Abbey Rd, Urbana, IL 61802-2284 | 2009-01-12 |
| 1396942074 | Jacquelyn Counts Williams | Nurse Practitioner | 3521 Del Rey Blvd Ste B, Las Cruces, NM 88012-7708 | 2007-06-27 |
| 1225117153 | Jacquelyn T Williams | Psychologist | 3625 E Thousand Oaks Blvd Ste 261, Westlake Village, CA 91362-3575 | 2006-11-02 |
| 1295388452 | Jacquelyn Sue Williams | Case Manager/Care Coordinator | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-07-17 |
| 1205375326 | Jacquelyn Williams | Pharmacist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-02-22 |
| 1851701411 | Jacquelyn Williams | Physical Therapist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-05-05 |
| 1679903181 | Jacquelyn Williams | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2013-11-19 |
| 1598045759 | Jacquelyn A Williams | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2011-08-19 |
| 1639457534 | Jacquelyn Williams | Nurse Practitioner | 1300 37th St, Suite 1, West Des Moines, IA 50266-1900 | 2011-07-26 |
| 1245433796 | Jacquelyn Michele Williams | Dentist | 2522 Dana St, Suite 101, Berkeley, CA 94704-2803 | 2007-06-11 |
| Street Address |
2841 32ND ST SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801396650 | Merle Dorcelle Haines | Custodial Care Facility | 5721 Christie Ave Se, Kentwood, MI 49508-6236 | 2018-02-19 |
| 1801326897 | Sammy Murithi Kiruki | Custodial Care Facility | 2167 Innwood Dr Se, Kentwood, MI 49508-5036 | 2017-06-13 |
| 1952830143 | Martha Guardado | Custodial Care Facility | 5689 Gentian Ct Se, Kentwood, MI 49508-6403 | 2017-06-09 |
| 1356879621 | Nervilyn Jenkins-atkins | Custodial Care Facility | 2215 Bentbrook Ct Se, Kentwood, MI 49508-6313 | 2017-05-31 |
| 1518408681 | 44th Home Care LLC | Custodial Care Facility | 2720 44th St Se, Kentwood, MI 49512-3805 | 2017-03-09 |
| 1689115610 | Burgis | Custodial Care Facility | 4895 Burgis Ave Se, Kentwood, MI 49508-4747 | 2017-03-09 |
| 1235679143 | New Outlook | Custodial Care Facility | 3051 Lowry Ct Se, Kentwood, MI 49512-5330 | 2017-02-27 |
| 1548700529 | Harvest Care Homes | Custodial Care Facility | 504 Sandy St Se, Kentwood, MI 49548-5921 | 2017-02-24 |
| 1033658208 | Zawadi Usa LLC | Custodial Care Facility | 4793 Millhaven Dr Se, Kentwood, MI 49548-4386 | 2017-02-21 |
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|---|---|---|---|---|
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| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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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.