KINGDOM REHABILATATION GROUP (NPI# 1386062586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386062586 |
| Entity Type | Organization |
| Organization Name | KINGDOM REHABILATATION GROUP |
| Practice Address |
2000 Town Ctr 1900 Southfield MI 48075-1135 |
| Practice Telephone | 2486338511 |
| Practice Fax Number | 3138647701 |
| Mailing Telephone | 2486338511 |
| Mailing Fax Number | 3138647701 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | DORENEA BYRD (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2486338511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2000 TOWN CTR 1900 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356577142 | Constant Home Healthcare, LLC. | Home Health | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2009-06-07 |
| 1194250837 | Tamara White | Counselor | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2017-05-01 |
| 1154794220 | Alliance Transportation | Non-emergency Medical Transport (VAN) | 2000 Town Ctr, Suite 650, Southfield, MI 48075-1135 | 2015-11-11 |
| 1255707832 | Larry Hathorne | Counselor | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2015-08-18 |
| 1619356920 | Cheryl Lynne Vanbeck | Dental Hygienist | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2015-05-20 |
| 1881072221 | Providing Hearts Home Health Service | In Home Supportive Care | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2015-05-18 |
| 1205223419 | Appleseed Professional Development LLC | Clinic/Center | 2000 Town Ctr, Suite1900, Southfield, MI 48075-1135 | 2015-04-26 |
| 1093129322 | Jannise Newby | Counselor | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2014-06-14 |
| 1952729154 | Dorenea Gurard | Contractor | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2014-04-03 |
| 1023431335 | Quality Home Health Services of Southeast Michigan | Custodial Care Facility | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424316 | Acute Residential Care LLC | Home Health | 17800 Northland Park Ct Ste 103, Southfield, MI 48075-4304 | 2020-10-12 |
| 1396355533 | Front Line Home Health Care Inc | Home Health | 26645 W 12 Mile Rd Ste 210, Southfield, MI 48034-7812 | 2020-08-03 |
| 1669080669 | Anjela's Helping Hands | Home Health | 22145 Maplewood Dr, Southfield, MI 48033-5945 | 2020-07-16 |
| 1619599768 | Evangelical Home Care,llc | Home Health | 23800 W 10 Mile Rd Ste 108, Southfield, MI 48033-3194 | 2020-05-12 |
| 1306467493 | A-four Inc | Home Health | 25800 W 11 Mile Rd, Southfield, MI 48034-6196 | 2020-04-30 |
| 1063048445 | Eden At Home LLC | Home Health | 29185 Tiffany Dr W, Southfield, MI 48034-4545 | 2020-03-18 |
| 1689208605 | Geppetto's Heart | Home Health | 24555 Southfield Rd Ste 100, Southfield, MI 48075-2788 | 2020-02-28 |
| 1144866500 | Tbiy LLC | Home Health | 25172 Maplebrooke Dr, Southfield, MI 48033-5282 | 2019-11-20 |
| 1689227803 | Omega Home Healthcare Services | Home Health | 24901 Northwestern Hwy Ste 314c, Southfield, MI 48075-2207 | 2019-07-17 |
| 1114588308 | Vital Home Health LLC | Home Health | 24001 Southfield Rd Ste 203c, Southfield, MI 48075-2847 | 2019-06-27 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on KINGDOM REHABILATATION GROUP.
| 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.