KIMBERLY A PREVOST (NPI# 1295946044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295946044 |
| Entity Type | Individual |
| Full Name | KIMBERLY A PREVOST |
| Practice Address |
3051 Commerce Dr Ste 5 Fort Gratiot MI 48059-3866 |
| Mailing Address |
1040 Summer St Algonac MI 48001-1294 |
| Practice Telephone | 8103854463 |
| Practice Fax Number | 8103858875 |
| Mailing Telephone | 8107942083 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396309381 | Kimberly Prevost | Student in an Organized Health Care Education/Training Program | 7907 Ostrow St Ste F, San Diego, CA 92111-3635 | 2019-04-25 |
| 1972070167 | Kimberly T Prevost | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2018-10-26 |
| Street Address |
3051 COMMERCE DR STE 5 |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194803403 | Innovative Housing Development Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3051 Commerce Dr, Suite 5, Fort Gratiot, MI 48059-3866 | 2006-11-02 |
| 1366878860 | Innovative Housing | Respite Care | 3051 Commerce Dr, Fort Gratiot, MI 48059-3866 | 2013-09-17 |
| 1912188186 | Michele Ebmeyer | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-11-16 |
| 1396945424 | Savannah Leigh Borgman | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-07-18 |
| 1043421142 | Rebecca L Vargo | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1366653198 | Swinder Logue | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1215148093 | Katelyn Hunger | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1629289442 | Chris Mcconnell | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1376754176 | Carmen Barks | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1528279338 | Cindy Chalfant | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851463525 | Carol Lynn Combs | Respite Care | 3051 Commerce Dr Ste 5, Fort Gratiot, MI 48059-3866 | 2006-11-15 |
| 1366878860 | Innovative Housing | Respite Care | 3051 Commerce Dr, Fort Gratiot, MI 48059-3866 | 2013-09-17 |
| 1912188186 | Michele Ebmeyer | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-11-16 |
| 1396945424 | Savannah Leigh Borgman | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-07-18 |
| 1043421142 | Rebecca L Vargo | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1366653198 | Swinder Logue | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1215148093 | Katelyn Hunger | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1629289442 | Chris Mcconnell | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1376754176 | Carmen Barks | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| 1528279338 | Cindy Chalfant | Respite Care | 3051 Commerce Dr, Ste 5, Fort Gratiot, MI 48059-3866 | 2007-05-24 |
| Find all providers in FORT GRATIOT | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
Please comment or provide details below to improve the information on KIMBERLY A PREVOST.
| 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.