TWIN DOVES II LLC (NPI# 1407491277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407491277 |
| Entity Type | Organization |
| Organization Name | TWIN DOVES II LLC |
| Practice Address |
40739 80th Ave Decatur MI 49045-8158 |
| Mailing Address |
48617 36th Ave Bangor MI 49013-9791 |
| Practice Telephone | 2698525910 |
| Practice Fax Number | 2698525910 |
| Mailing Telephone | 6164039430 |
| Mailing Fax Number | 2698525910 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | RICKIE LYNN HERNANDEZ (HOME PROVIDER) |
| Authorized Official Telephone | 6164039430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
40739 80TH AVE |
| City | DECATUR |
| State | MI |
| Zip Code | 49045-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508106121 | Murks Village Market Inc | Pharmacy | 108b East Delaware Street, Decatur, MI 49045 | 2013-02-19 |
| 1295863066 | Linda Arlene Berrington | Pharmacist | 108 B E Delaware St, Decatur, MI 49045 | 2007-03-01 |
| 1891228342 | Jorge Ricardo Swett Tapia | Dentist | 321 W Delaware St, Decatur, MI 49045 | 2017-04-11 |
| 1295741320 | Dale Eugene Bryant Jr. | Registered Nurse | 216 E Saint Marys St, Decatur, MI 49045-1023 | 2006-07-31 |
| 1023133378 | Robert Steven Murav | Dentist | 321 W Delaware St, Decatur, MI 49045-1106 | 2007-03-19 |
| 1639166747 | Lester Burkow | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2005-10-04 |
| 1649886607 | Melissa Lynn Williams | Social Worker | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-09-16 |
| 1245869585 | Erica Nagra | Registered Nurse | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-04-08 |
| 1376767285 | Bronson Lakeview Hospital | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2007-04-12 |
| 1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
| Find all providers in zip 49045 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1699138669 | From The Heart Enterprises, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2188 Riverbrook Rd, Decatur, GA 30035-2924 | 2016-03-29 |
| 1700248226 | Xtraordinary People Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Glennwood Rd Sw, Decatur, AL 35601-3932 | 2016-03-23 |
| 1750750923 | Church of Grace of The Christian Faith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Memorial Dr Nw, Decatur, AL 35601-2263 | 2015-09-17 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1467798645 | Loyd Homes of Decatur, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 815 Sherman St Se, Decatur, AL 35601-3143 | 2012-12-17 |
| 1982958518 | Exceeding Your Expectations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2115 Nichols Ln, Decatur, GA 30032-5834 | 2012-11-05 |
| 1861746901 | As&c Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1607 Faye St Sw, Decatur, AL 35601-2732 | 2012-10-27 |
| 1013219450 | Adam and Eve Assisted Living Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5169 Covington Hwy, Decatur, GA 30035-2024 | 2010-11-17 |
| 1922310291 | Owls Retreat Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2858 Santa Barbara Dr, Decatur, GA 30032-3552 | 2010-07-02 |
| Find all providers in DECATUR | ||||
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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.