SHENICAK KUJUANA DAVIS (NPI# 1326549148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326549148 |
Entity Type | Individual |
Full Name | SHENICAK KUJUANA DAVIS |
Practice Address |
16434 Constance Ave Detroit MI 48228-4311 |
Practice Telephone | 3134552910 |
Mailing Telephone | 3134552910 |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
MI | Nursing Service Related Providers | |
N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
N | 106S00000X | Behavior Technician | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | CLS | 82-4451938 | 01 |
DIFFERENT NETWORKS | 824451938 | 01 | |
MI | MCPN'S | 824451938 | 01 |
MI | 844451938 | 05 | |
MI | 82-4451938 | 05 |
Street Address |
16434 CONSTANCE AVE |
City | DETROIT |
State | MI |
Zip Code | 48228-4311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
Find all providers in zip 48228 |
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 |
---|---|---|---|---|
1184267528 | Willie M Rhymes Jr. | Technician | 16020 W Chicago St, Detroit, MI 48228-2144 | 2019-10-17 |
1851861991 | Tdal Home Care LLC | Technician | 19510 Burlington Dr, Detroit, MI 48203-1454 | 2018-12-02 |
1952871261 | Karl Patrick Sr. | Technician | 17133 Mendota St, Detroit, MI 48221-2306 | 2018-11-29 |
1831603059 | Excellent Inc. | Technician | 20200 Stratford Rd, Detroit, MI 48221-1380 | 2017-11-27 |
1407397102 | Richard Jones-weems | Technician | 20540 Picadilly Rd, Detroit, MI 48221-1370 | 2017-03-14 |
1376925156 | Aneisha Thurman | Technician | 5279 Cadieux Rd, Detroit, MI 48224-2111 | 2015-06-29 |
1578105961 | Raynard Brett Smith | Technician | 1423 Field St, Detroit, MI 48214-2321 | 2019-10-17 |
1912412032 | Charllita Charmaine Rodgers | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-12 |
1770098907 | Tawana Nicole Carter | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-11 |
1043725450 | Gregory Lamont Richardson Jr. | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2017-12-07 |
Find all providers in DETROIT |
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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.