MRS. CARRIE LYNN DEXTROM


Address: 9200 W Walker Rd, Manton, MI 49663-9315
Phone: 2318788352

MRS. CARRIE LYNN DEXTROM (NPI# 1437626256) 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) 1437626256
Entity Type Individual
Full Name MRS. CARRIE LYNN DEXTROM
Practice Address 9200 W Walker Rd
Manton
MI 49663-9315
Practice Telephone 2318788352
Mailing Telephone 2318783914
Enumeration Date 2018-10-30
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion Nursing Service Related Providers

Office Location

Street Address 9200 W WALKER RD
City MANTON
State MI
Zip Code 49663-9315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184191918 Magnolia Care Afc Home LLC Foster Care Agency 9200 W Walker Rd, Manton, MI 49663-9315 2018-10-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639454986 Manton Family Pharmacy Inc Pharmacy 117 W Main St, Manton, MI 49663 2011-10-19
1477641926 Bostick Drug Store Inc Pharmacy 117 W Main St, Manton, MI 49663 2006-10-10
1669862546 Hilda Schut Massage Therapist 7144 E 14 Rd, Manton, MI 49663-8600 2015-01-29
1821549858 Katie Gardner Specialist/Technologist 5851 W Moorestown Rd, Manton, MI 49663-9012 2016-10-14
1558900720 Manton Family Pharmacy Inc Pharmacy 117 W Main St, Manton, MI 49663-9026 2020-01-05
1578817854 Bonnie Lou Perkins/crackel Contractor 116 Roberts St, Manton, MI 49663-9124 2012-11-07
1093287203 Stephen Hooper Transportation Broker 212 Pine St, Manton, MI 49663-9128 2018-12-28
1922551852 Manton Medical Equipment, LLC Health Maintenance Organization 113 E Main St, Manton, MI 49663-9152 2016-07-27
1578992459 Karla Long Physical Therapy Assistant 413 W Main St, Manton, MI 49663-9156 2013-11-01
1518358779 Mary Schmidt Registered Nurse 9091 W Walker Rd, Manton, MI 49663-9311 2015-02-10
Find all providers in zip 49663

Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275131112 Kimberly Ann Walker Adult Companion 452 Bay St, Pontiac, MI 48342-1912 2020-10-13
1093346462 Easy Living Assistance Adult Companion 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 2020-02-04
1346883618 Barbara Rodriguez Adult Companion 2295 N Winn Rd, Mount Pleasant, MI 48858-9736 2019-10-19
1407415730 Monesha Maria Moore Adult Companion 29555 Laurel Woods Dr Apt 205, Southfield, MI 48034-4664 2019-06-11
1407412638 Geisha Shanee Burton Adult Companion 8160 E Lantz St, Detroit, MI 48234-3303 2019-05-13
1639636855 Latesa Renae Thomas Adult Companion 11611 Grayton St, Detroit, MI 48224-1643 2019-02-24
1912470907 Austyn Desean Hollingshed Adult Companion 485 Hustler St, Gwinn, MI 49841-2902 2019-01-02
1205323086 Theresa A Akin Adult Companion 20485 Goddard St Apt 102, Detroit, MI 48234-1354 2018-04-17
1114442084 Rhonda Lewis Adult Companion 18603 Mendota St, Detroit, MI 48221-1911 2017-08-11
1275062002 Iyeshia Galloway Adult Companion 5075 Farmbrook St, Detroit, MI 48224-1377 2017-06-06
Find all providers with the same taxonomy

Competitor

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City MANTON
Zip Code 49663

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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