CLW ADULT DAY CARE SERVICE LLC (NPI# 1497058549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497058549 |
| Entity Type | Organization |
| Organization Name | CLW ADULT DAY CARE SERVICE LLC |
| Practice Address |
10450 W Jefferson Ave River Rouge MI 48218-1334 |
| Practice Telephone | 3135753573 |
| Practice Fax Number | 3138420066 |
| Mailing Telephone | 3135753573 |
| Mailing Fax Number | 3138420066 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Authorized Official Name | MS. NAKEYSHA CATHERINE WISDOM (C.E.O) |
| Authorized Official Telephone | 3135753573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
10450 W JEFFERSON AVE |
| City | RIVER ROUGE |
| State | MI |
| Zip Code | 48218-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828397 | City of River Rouge Fire Dept | Ambulance | 10600 W Jefferson Ave, River Rouge, MI 48218 | 2005-11-16 |
| 1487198727 | Jonathan Leslie Tate | Behavior Technician | 258 Polk Ave, River Rouge, MI 48218-1029 | 2016-12-06 |
| 1275901696 | Yaxsaira Pietri | Technician, Other | 539 Polk Ave, River Rouge, MI 48218-1034 | 2015-09-02 |
| 1861799538 | Peoples Community Medical Center PC | Pharmacist | 310 Visger Rd, River Rouge, MI 48218-1037 | 2011-02-16 |
| 1346887866 | Community Care Rx LLC | Pharmacy | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-12-03 |
| 1639734957 | Sumpter Integrated Health Care Clinic P.l.l.c. | Clinic/Center | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-05-02 |
| 1598089526 | Dorothy Beatrice Jenkins | Psychologist | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-19 |
| 1568776086 | Exec-u-tech Behavioral Therapy | Community/Behavioral Health | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-07-27 |
| 1578887808 | Aurelia Lafaye Kent | Social Worker | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-15 |
| 1053709212 | Down River X-press LLC | Non-emergency Medical Transport (VAN) | 146 Charles St, River Rouge, MI 48218-1114 | 2014-12-22 |
| Find all providers in zip 48218 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381699 | Forster Woods Adult Day Services | Clinic/Center | 4656 Meridian Rd, Williamston, MI 48895-9317 | 2020-09-16 |
| 1245874122 | Hannan Center | Clinic/Center | 4750 Woodward Ave, Detroit, MI 48201-1300 | 2019-11-04 |
| 1902448731 | Simeon's Rest Adult Day Program | Clinic/Center | 46500 N Territorial Rd, Plymouth, MI 48170-3066 | 2019-10-14 |
| 1013562677 | Tammy Cowley | Clinic/Center | 6121 S Fitzgerald Ave, Fremont, MI 49412-9120 | 2019-08-09 |
| 1750934345 | Gratitude House | Clinic/Center | 19954 Conant St Ste C, Detroit, MI 48234-1595 | 2019-07-22 |
| 1023670205 | Great Memories Adult Day Care Services Inc. | Clinic/Center | 24863 Eureka Rd, Taylor, MI 48180-5159 | 2019-07-08 |
| 1538721956 | Loving Care Resource Group Inc | Clinic/Center | 10900 Whittier St, Detroit, MI 48224-1639 | 2019-07-05 |
| 1396303483 | Papas Place Adult Day Care LLC | Clinic/Center | 121 W Upton Ave, Reed City, MI 49677-1129 | 2019-06-03 |
| 1336705383 | Global Alliance Corp | Clinic/Center | 20008 Kelly Rd, Harper Woods, MI 48225-1919 | 2019-05-15 |
| 1851957096 | Loving Hearts Adult Day Care, LLC | Clinic/Center | 24421 W 9 Mile Rd, Southfield, MI 48033-3976 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | RIVER ROUGE |
| Zip Code | 48218 |
Please comment or provide details below to improve the information on CLW ADULT DAY CARE SERVICE LLC.
| 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.