SHENICAK KUJUANA DAVIS


Address: 16434 Constance Ave, Detroit, MI 48228-4311
Phone: 3134552910

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 16434 CONSTANCE AVE
City DETROIT
State MI
Zip Code 48228-4311

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City DETROIT
Zip Code 48228

Improve Information

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Dataset Information

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.

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