SELENA CROYLE (NPI# 1316588627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316588627 |
| Entity Type | Individual |
| Full Name | SELENA CROYLE |
| Practice Address |
585 Jewett Rd Mason MI 48854-8729 |
| Mailing Address |
Po Box 289 Mason MI 48854-0289 |
| Practice Telephone | 5176765405 |
| Practice Fax Number | 5176765460 |
| Mailing Telephone | 5176765405 |
| Mailing Fax Number | 5176765460 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
585 JEWETT RD |
| City | MASON |
| State | MI |
| Zip Code | 48854-8729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942271390 | Robert E Dempsey | Pediatrics | 585 Jewett Rd, Mason, MI 48854-8729 | 2006-02-01 |
| 1538770326 | Felicia Rusher | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-08-14 |
| 1407477805 | Breanna Vanriper | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-04-27 |
| 1710506662 | Kimberly Sue Docter | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-04-10 |
| 1871126748 | Erica Adams | Case Manager/Care Coordinator | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-19 |
| 1265064018 | Vanity Bronson | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-10 |
| 1093347841 | Halley Marciniak | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-10 |
| 1790317030 | Diana Fuentes | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-05 |
| 1447881636 | Amanda Hubert | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-01-28 |
| 1508496001 | Travis White | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538770326 | Felicia Rusher | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-08-14 |
| 1407477805 | Breanna Vanriper | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-04-27 |
| 1710506662 | Kimberly Sue Docter | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-04-10 |
| 1265064018 | Vanity Bronson | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-10 |
| 1093347841 | Halley Marciniak | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-10 |
| 1790317030 | Diana Fuentes | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-02-05 |
| 1447881636 | Amanda Hubert | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-01-28 |
| 1508496001 | Travis White | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2020-01-23 |
| 1235773672 | Alexander Weiss | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2019-10-29 |
| 1154964393 | Barbara Fockler | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2019-10-21 |
| Find all providers in MASON | ||||
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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.