NTL ADULT FOSTER CARE (NPI# 1316451065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316451065 |
| Entity Type | Organization |
| Organization Name | NTL ADULT FOSTER CARE |
| Practice Address |
1056 Bates St Se Grand Rapids MI 49506-2681 |
| Practice Telephone | 6166475945 |
| Mailing Telephone | 6166475945 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | JOHNNIE R TYLER (OWNER) |
| Authorized Official Telephone | 6163759786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers |
| Street Address |
1056 BATES ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
| 1518285022 | Spectrum Health Primary Care Partners | Psychologist | 426 Michigan St Ne, Suite 102, Grand Rapids, MI 49503-5609 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045245 | Sharae Lacrasha Hill | Psychologist | 15920 Fenkell St, Detroit, MI 48227-1970 | 2019-10-19 |
| 1811554470 | Wild Blooms Therapy LLC | Psychologist | 5840 N Canton Center Rd Ste 282, Canton, MI 48187-2614 | 2019-05-20 |
| 1538655055 | Shoine Miller | Psychologist | 16127 Riverview St, Detroit, MI 48219-3722 | 2018-07-09 |
| 1245720515 | Rynicia Caldwell | Psychologist | 9355 Patton St, Detroit, MI 48228-1505 | 2018-05-12 |
| 1124533344 | Selina Douglass | Psychologist | 16999 Morrison St, Southfield, MI 48076-2016 | 2017-12-11 |
| 1235529017 | Count Your Blessings Tlc, Inc | Psychologist | 2250 W Euclid St, Detroit, MI 48206-2403 | 2015-01-30 |
| 1578964656 | In The Valley Adult Day Center | Psychologist | 17581 James Couzens Fwy, Detroit, MI 48235-2643 | 2014-09-09 |
| 1417037797 | Wayne Center | Psychologist | 100 River Place Dr, Suite 250, Detroit, MI 48207-4274 | 2006-10-17 |
| 1881203834 | Teevia C Brown | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-27 |
| 1295070027 | Richard Alan Tackett | Psychologist | 273 Marshall St, Coldwater, MI 49036-1142 | 2012-12-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on NTL ADULT FOSTER CARE.
| 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.