HANCOCK RESIDENTIAL CENTER, INC. (NPI# 1316034929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316034929 |
| Entity Type | Organization |
| Organization Name | HANCOCK RESIDENTIAL CENTER, INC. |
| Practice Address |
801 W Willis St Detroit MI 48201-1629 |
| Practice Telephone | 3138313551 |
| Practice Fax Number | 3138318718 |
| Mailing Telephone | 3138313551 |
| Mailing Fax Number | 3138318718 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FREDERICK T FELDER (ACCOUNTANT) |
| Authorized Official Telephone | 2485389100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
MI | Nursing & Custodial Care Facilities |
| Street Address |
801 W WILLIS ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225513468 | Harmony Hearts Village LLC | Assisted Living Facility | 7773 Sherwood St, Detroit, MI 48211-1785 | 2018-10-03 |
| 1699277004 | Leann Renee Gastelum | Assisted Living Facility | 19301 Winthrop St, Detroit, MI 48235 | 2018-03-01 |
| 1205382389 | B&r Holistic Care Housing, LLC | Assisted Living Facility | 19303 Mark Twain St, Detroit, MI 48235-1914 | 2016-08-29 |
| 1922386986 | Branmira's House | Assisted Living Facility | 17290 Shaftsbury Ave, Detroit, MI 48219-3591 | 2011-07-25 |
| 1720268063 | Robbie's Place | Assisted Living Facility | 4038 Taylor St, Detroit, MI 48204-2419 | 2007-11-04 |
| 1962015099 | The Noble Home II, Inc | Assisted Living Facility | 327 E Grand Blvd, Detroit, MI 48207 | 2020-08-28 |
| 1790292928 | Golden Point Community LLC | Assisted Living Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947703 | Bay City Comfort Care | Assisted Living Facility | 4130 Shrestha Dr, Bay City, MI 48706-2184 | 2020-06-19 |
| 1548807142 | Mother of Grace LLC | Assisted Living Facility | 7947 Tulane St, Taylor, MI 48180-2321 | 2019-12-03 |
| 1881231629 | Better Life Residential Care Inc | Assisted Living Facility | 4444 Lincoln Blvd, Dearborn Hts, MI 48125-2568 | 2019-11-27 |
| 1700433042 | Golden Life Afc LLC | Assisted Living Facility | 10710 Roy Dr, Greenville, MI 48838-9105 | 2019-08-21 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1225564768 | Country Haven | Assisted Living Facility | 413 E Muskegon St, Cedar Springs, MI 49319-9596 | 2017-05-03 |
| 1841683158 | Hill's Support Services Inc. | Assisted Living Facility | 6430 Washington St, Romulus, MI 48174-1742 | 2015-03-11 |
| 1891198057 | Pinecrest Farms | Assisted Living Facility | 413 N Homer Rd, Midland, MI 48640-8646 | 2014-10-02 |
| 1992120927 | Blessing Keepers Adult Living LLC | Assisted Living Facility | 3878 Yorkland Dr Nw, 10, Comstock Park, MI 49321-8426 | 2014-02-27 |
| 1790110070 | Beacon Specialized Living Services | Assisted Living Facility | 628 E Main St Apt 8, Sebewaing, MI 48759-1698 | 2013-09-05 |
| 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.