GREATER METRO DETROIT SENIOR ASSISTANCE LLC (NPI# 1275192247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275192247 |
| Entity Type | Organization |
| Organization Name | GREATER METRO DETROIT SENIOR ASSISTANCE LLC |
| Practice Address |
6060 Dixie Hwy Ste E Clarkston MI 48346-3476 |
| Practice Telephone | 2486237999 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | KYLE KASLER (DIRECTOR) |
| Authorized Official Telephone | 2486237999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | WE DO NOT HAVE ANY ADDITIONAL IDENTIFIERS | NONE | 01 |
| Other Name | Type Code |
|---|---|
| Visiting Angels Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER METRO DETROIT SENIOR ASSISTANCE LLC | 6060 Dixie Hwy Ste E, Clarkston, MI 48346-3476 |
| Street Address |
6060 DIXIE HWY STE E |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881432 | Sheila Japoniceker Womack | Home Health Aide | 23328 Beechwood Ave, Eastpointe, MI 48021-3549 | 2020-11-08 |
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1902407596 | Mishari Denise Ryan | Home Health Aide | 1190 River Valley Dr Apt 4, Flint, MI 48532-2960 | 2020-11-02 |
| 1386244242 | Athens Home Care Solutions LLC | Home Health Aide | 215 W Burr Oak, Athens, MI 49011-9731 | 2020-10-29 |
| 1700484037 | Kaelah Alexander | Home Health Aide | 17800 Northland Park Ct Ste 103b, Southfield, MI 48075-4304 | 2020-10-09 |
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1548875578 | Shenise Renee Jones | Home Health Aide | 15433 Auburn St, Detroit, MI 48223-1764 | 2020-09-15 |
| 1396350336 | Molly D Schichtel | Home Health Aide | 4234 Cascade Rd Se Ste 3, Grand Rapids, MI 49546-8384 | 2020-09-15 |
| 1073128815 | Charmaine Tate | Home Health Aide | 32144 Woody, Fraser, MI 48026-2126 | 2020-09-09 |
| 1487268280 | Shaquisha N Allen | Home Health Aide | 9072 Stahelin Ave, Detroit, MI 48228-1715 | 2020-08-31 |
| 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.