DAVID LEVI JYLHA (NPI# 1508352121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508352121 |
Entity Type | Individual |
Full Name | DAVID LEVI JYLHA |
Practice Address |
225 County Rd 480 Negaunee MI 49866 |
Practice Telephone | 9064010030 |
Mailing Telephone | 9064010030 |
Enumeration Date | 2018-07-06 |
Last Update Date | 2018-07-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AF520338326 | MI | Nursing & Custodial Care Facilities |
Street Address |
225 COUNTY RD 480 |
City | NEGAUNEE |
State | MI |
Zip Code | 49866 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457874455 | Anne Marie Marshall | Counselor | 104 Malton Rd., Asc Great Lakes Recovery, Negaunee, MI 49866 | 2017-07-21 |
1114336286 | Jordan Jarvi | Physical Therapy Assistant | 600 Us Highway 41, Negaunee, MI 49866 | 2014-08-04 |
1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
1144408220 | Dan Whitley Collins | Dentist | 100 Croix Street, Negaunee, MI 49866 | 2008-01-31 |
1588705602 | Denise Evie Koehn | Nurse Practitioner | Marquette County Health Dept., 184 Hwy 41 East, Negaunee, MI 49866 | 2007-02-09 |
1659467744 | Sandra K Mccowen | Family Medicine | 100 Malton Rd., Negaunee, MI 49866 | 2006-10-05 |
1689680480 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 390 Us 41 East, Negaunee, MI 49866 | 2006-08-01 |
1013924323 | Mk Stores Inc | Pharmacy | 380 Us Highway 41 East, Negaunee, MI 49866 | 2006-08-01 |
1568432342 | Professional Breathing Associates Inc | Prosthetic/Orthotic Supplier | 256 U.S. 41 East, Negaunee, MI 49866 | 2006-01-25 |
1154816676 | Kenneth William Lacosse | Counselor | 104 Malton Rd, Negaunee, MI 49866 | 2018-06-27 |
Find all providers in zip 49866 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
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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.