PRIME REHAB AND PHYSICAL THERAPY INC (NPI# 1457356453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356453 |
| Entity Type | Organization |
| Organization Name | PRIME REHAB AND PHYSICAL THERAPY INC |
| Practice Address |
2900 S Fort St Ste 3 Detroit MI 48217-1061 |
| Mailing Address |
7140 W Fort St Ste 4 Detroit MI 48209-2917 |
| Practice Telephone | 3133880156 |
| Practice Fax Number | 3133880593 |
| Mailing Telephone | 3133573079 |
| Mailing Fax Number | 3133880593 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | DR. MUHAMMAD SADIQ (ADMINISTRATOR) |
| Authorized Official Telephone | 3133573079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4676467 | 05 |
| Street Address |
2900 S FORT ST STE 3 |
| City | DETROIT |
| State | MI |
| Zip Code | 48217-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735304 | Platinum Home Care Inc | Home Health | 2900 S Fort St, Detroit, MI 48217-1061 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578026076 | Julia Christine Zaddock | Nurse Practitioner | 12800 Toronto St., Detroit, MI 48217 | 2019-04-11 |
| 1821409152 | Melynda Shavonne Green | Social Worker | 2715 S, Beatrice, Detroit, MI 48217 | 2014-05-08 |
| 1306379656 | Erin Allesse Perryman | Registered Nurse | 12750 Downing St, Detroit, MI 48217-1004 | 2017-04-04 |
| 1972060184 | Larhonda Deneene Boddie | Licensed Practical Nurse | 1941 S Fort St, Detroit, MI 48217-1013 | 2019-02-24 |
| 1770915209 | Family Service | Community/Behavioral Health | 2237 S Fort St, Detroit, MI 48217-1014 | 2013-08-07 |
| 1407088248 | Lori Jackson | Private Vehicle | 3103 S Dartmouth St, Detroit, MI 48217-1020 | 2009-08-12 |
| 1174789556 | Dng Group Inc | Respiratory Therapist, Certified | 3047 S Fort St, Detroit, MI 48217-1032 | 2008-08-05 |
| 1467817379 | Anquineki Jackson | Home Health Aide | 12850 Corbin St, Detroit, MI 48217-1081 | 2015-12-18 |
| 1902252026 | Jaleesa Edwards | Technician, Other | 12866 Omaha St, Detroit, MI 48217-1093 | 2016-05-07 |
| 1326168816 | Irma Jean Winborn | Social Worker | 3002 S Liddesdale St, Detroit, MI 48217-1113 | 2007-03-30 |
| Find all providers in zip 48217 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104352285 | Tukeisha Snedecar | Residential Treatment Facility, Physical Disabilities | 19210 Conley St, Detroit, MI 48234-2276 | 2017-05-10 |
| 1760925556 | Connect Care Network Inc. | Residential Treatment Facility, Physical Disabilities | 19761 Annott St, Detroit, MI 48205-1603 | 2016-11-28 |
| 1306390737 | Nikeyla Blakeney | Residential Treatment Facility, Physical Disabilities | 15384 Freeland St, Detroit, MI 48227-2911 | 2016-08-15 |
| 1801249222 | Cm Org | Residential Treatment Facility, Physical Disabilities | 7621 Parkland, Detroit, MI 48239-1031 | 2016-07-20 |
| 1831568500 | Expert Enterprises | Residential Treatment Facility, Physical Disabilities | 18453 Woodingham Dr Uppr, Detroit, MI 48221-2155 | 2015-09-23 |
| 1609209634 | Detroit Family Home | Residential Treatment Facility, Physical Disabilities | 17180 Indiana St, Detroit, MI 48221-2445 | 2013-08-13 |
| 1336332972 | Urban Enterprise | Residential Treatment Facility, Physical Disabilities | 17558 Monica St, Detroit, MI 48221-2635 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173017 | Newport Care Center | Residential Treatment Facility, Physical Disabilities | 22977 Newport St, Southfield, MI 48075-5850 | 2019-03-19 |
| 1750832564 | First Door, LLC | Residential Treatment Facility, Physical Disabilities | 25584 W 10 Mile Rd, Southfield, MI 48033-4826 | 2016-10-17 |
| 1558815068 | Charlie Hudson | Residential Treatment Facility, Physical Disabilities | 15831 Woodworth, Redford, MI 48239-3970 | 2016-08-12 |
| 1548635618 | Milad Jabow | Residential Treatment Facility, Physical Disabilities | 5126 Allison Dr, Troy, MI 48085-3468 | 2015-12-01 |
| 1396113767 | Ltss Inc | Residential Treatment Facility, Physical Disabilities | 3801 S 39 Rd, Cadillac, MI 49601-9126 | 2015-09-02 |
| 1962879759 | Zina Alsalik | Residential Treatment Facility, Physical Disabilities | 19230 Ford Rd, Apt 710, Dearborn, MI 48128-2000 | 2015-08-27 |
| 1851786263 | Cbi Rehabilitation Services, Inc. | Residential Treatment Facility, Physical Disabilities | 3446 E Lake Lansing Rd, East Lansing, MI 48823-1511 | 2015-04-02 |
| 1154719466 | Recovery In Christ Healing Family Program Inc. | Residential Treatment Facility, Physical Disabilities | 7808 Chloe Ct, Belleville, MI 48111-7421 | 2015-01-08 |
| 1396141511 | Apex Real Estate Holdings LLC | Residential Treatment Facility, Physical Disabilities | 4074 Rouge Circle Dr, Troy, MI 48098-4217 | 2014-11-16 |
| 1689087504 | My Home Away From Home Residential & Physical Therapy | Residential Treatment Facility, Physical Disabilities | 1155 W Mcnichols Rd Apt 106, Highland Park, MI 48203-2514 | 2014-06-09 |
| Find all providers with the same taxonomy | ||||
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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.