OCEANSBLUE 24 HR HOME CARE 4 (NPI# 1295277663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295277663 |
| Entity Type | Organization |
| Organization Name | OCEANSBLUE 24 HR HOME CARE 4 |
| Practice Address |
15336 Washburn St Detroit MI 48238-1662 |
| Mailing Address |
15336 Washburn Detroit MI 48238 |
| Practice Telephone | 2488184025 |
| Mailing Telephone | 2488184025 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | BRIONA DWAYNA GIST (OWNER) |
| Authorized Official Telephone | 2488184025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
15336 WASHBURN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-1662 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801373 | Pharmor Pharmacy Evergreen | Point of Service | 20250 West 7 Mile Road, Detroit, MI 48219 | 2014-08-21 |
| 1861730467 | Currie Adult Day Care | Point of Service | 16551 E Warren Ave, Detroit, MI 48224-2742 | 2013-01-17 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1407000565 | International Deliverance Center Cdc | Point of Service | 7200 Harper Ave, Detroit, MI 48213-2404 | 2008-11-14 |
| 1881891356 | Gateway Community Health | Point of Service | 3011 W Grand Blvd Fl 20, Suite 2000, Detroit, MI 48202-3022 | 2007-06-28 |
| 1629574850 | Nikki Elizabeth Browder | Point of Service | 19211 Anglin St, Detroit, MI 48234-1460 | 2018-04-05 |
| 1174992796 | Warren Medical and Therapy Center, LLC | Point of Service | 15841 W Warren Ave, #37, Detroit, MI 48228-3737 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016317 | Rocket Billing Services LLC | Point of Service | 1355 Hollywood St, Dearborn, MI 48124-4041 | 2019-11-05 |
| 1376059238 | Special Driving Services, Inc. | Point of Service | 3945 Okemos Rd Ste A5, Okemos, MI 48864-4207 | 2017-12-14 |
| 1093228124 | Khidmah LLC | Point of Service | 9315 Joseph Campau St, Hamtramck, MI 48212-3433 | 2017-11-11 |
| 1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1083159545 | Marley Gannon Pagel Lmsw, Acsw, LLC | Point of Service | 474 Iris Ln, Saline, MI 48176-9092 | 2016-12-19 |
| 1720434384 | Kelly Mcclain | Point of Service | 2125 Denwood Ave Sw, Wyoming, MI 49509-1962 | 2016-05-12 |
| 1902266356 | Central Michigan Care | Point of Service | 798 S Whiteville Rd, Mt Pleasant, MI 48858-8776 | 2016-02-28 |
| 1073982070 | Bellis | Point of Service | 33037 Grand River Ave, Farmington, MI 48336-3119 | 2015-09-20 |
| 1740666098 | Nariman Shamoon | Point of Service | 14585 Sparrow Dr, Shelby Township, MI 48315-5042 | 2015-08-09 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 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.