JACQUELINE HODGES (NPI# 1295207991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295207991 |
| Entity Type | Individual |
| Full Name | JACQUELINE HODGES |
| Practice Address |
15404 Ilene St Detroit MI 48238-1042 |
| Mailing Address |
16845 Linwood St Detroit MI 48221-3126 |
| Practice Telephone | 3133166357 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704305533 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154826717 | Jacqueline Hodges | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-03-27 |
| 1356790265 | Jacqueline Kaye Hodges | Physical Therapy Assistant | 3818 Decker Dr, Baytown, TX 77520-1662 | 2016-06-10 |
| 1811320369 | Jacqueline Diane Hodges | Counselor | 1731 N Comal, San Antonio, TX 78212-4214 | 2013-08-19 |
| Street Address |
15404 ILENE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093121485 | Charlotte Nelson | Registered Nurse | 15465 Oakfield St, Detroit, MI 48227-1533 | 2014-07-07 |
| 1013345271 | Tracey Gross | Registered Nurse | 20244 Woodingham Dr, Detroit, MI 48221-5200 | 2013-10-25 |
| 1093087801 | Progress Transitionalnonprofit Housing Corporation | Registered Nurse | 13500 E. Mcnichols Road, Detroit, MI 48205-3426 | 2012-02-08 |
| 1841745262 | Tonya Morris | Registered Nurse | 445 King St, Detroit, MI 48202-2130 | 2016-08-16 |
| 1578986873 | Andrew Johnson IIi | Registered Nurse | 2900 Conner St, Detroit, MI 48215-2407 | 2014-01-23 |
| 1992823967 | Chs of Greater Detroit,llc | Registered Nurse | 19830 James Couzens Fwy, Suite A, Detroit, MI 48235-1938 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669969 | K & M Medical & Catastrophic Management, LLC | Registered Nurse | 3005 E 11 Mile Rd, Warren, MI 48092-3523 | 2020-08-10 |
| 1194347211 | Martin James Leonard | Registered Nurse | 3067 Beach Lake Dr E, Milford, MI 48380-2864 | 2020-05-12 |
| 1104460971 | Lovingprivatecare71 LLC | Registered Nurse | 24020 Sunnypoint Dr, Southfield, MI 48033-2907 | 2019-11-04 |
| 1497217822 | James Henry Wood | Registered Nurse | 50 W Big Beaver Rd Ste 90, Bloomfield Hills, MI 48304-3910 | 2019-04-04 |
| 1396211702 | Julius Militante | Registered Nurse | 3101 Vineyard Ln, Flushing, MI 48433-2435 | 2018-10-23 |
| 1992293567 | Kathleen Drew | Registered Nurse | 24801 5 Mile Rd Ste 7, Redford, MI 48239-3653 | 2018-04-28 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1376054262 | Carrie Allan | Registered Nurse | 39067 Salem Dr, Clinton Township, MI 48038-2857 | 2017-10-18 |
| 1942733050 | Jennifer Bartkowiak-wise | Registered Nurse | 4320 N 11 Mile Rd, Pinconning, MI 48650-7976 | 2017-04-05 |
| 1649725912 | Kim Czarnota | Registered Nurse | 3803 Orchard Dr, Highland, MI 48356-1955 | 2016-08-16 |
| 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.