DEAN'S MANOR INC. (NPI# 1508964255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508964255 |
| Entity Type | Organization |
| Organization Name | DEAN'S MANOR INC. |
| Practice Address |
4328 7th Street 4329 7th Street Ecorse MI 48229 |
| Mailing Address |
22745 Jefferson St.clair Shores MI 48080 |
| Practice Telephone | 3133889648 |
| Practice Fax Number | 3133884013 |
| Mailing Telephone | 3133889648 |
| Mailing Fax Number | 3133884013 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DENA DESHONE JORDAN-ROBERSON (PRESIDENT/PROVIDER) |
| Authorized Official Telephone | 3133889648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MI | Residential Treatment Facilities |
| Street Address |
4328 7TH STREET 4329 7TH STREET |
| City | ECORSE |
| State | MI |
| Zip Code | 48229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588107171 | Devoted Transportation Inc. | Non-emergency Medical Transport (VAN) | 3865 W Jefferson Ave, Ecorse, MI 48229 | 2016-11-30 |
| 1093187577 | Orchard Afc | Custodial Care Facility | 73 Orchard Street, Ecorse, MI 48229 | 2015-10-23 |
| 1780060434 | Jason John Hawkins | Home Health Aide | 18 E Glenwood, Ecorse, MI 48229 | 2015-08-05 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1023124120 | Downriver Industrial Clinic PC | Chiropractor | 4005 W Jefferson Avenue, Ecorse, MI 48229 | 2006-08-22 |
| 1780021147 | Susan Ann Barnes | Registered Nurse | 4488 1st St, Ecorse, MI 48229-1027 | 2013-05-25 |
| 1033267265 | Christine Anne Miller | Specialist/Technologist | 4267 6th St, Ecorse, MI 48229-1109 | 2007-01-05 |
| 1417476151 | Jacquelyn Clemons | Student in an Organized Health Care Education/Training Program | 4300 6th St, Ecorse, MI 48229-1110 | 2017-09-13 |
| 1770070872 | Tiffany Sparks | Licensed Practical Nurse | 4170 16th St, Ecorse, MI 48229-1239 | 2018-04-16 |
| 1487180980 | Nolan Grey Home Care Agency and Resource Center | In Home Supportive Care | 4119 19th St, Ecorse, MI 48229-1244 | 2017-05-04 |
| Find all providers in zip 48229 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental 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 |
|---|---|---|---|---|
| 1770199507 | Laura Lisa Gonzalez | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7134 Blankenship Cir, Davison, MI 48423-2317 | 2020-09-17 |
| 1558984377 | Angel Patient Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12601 E Outer Dr, Detroit, MI 48224-4204 | 2020-05-27 |
| 1659990208 | Lydias House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11667 152nd Ave, West Olive, MI 49460-9232 | 2020-04-14 |
| 1124667118 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2678 S Waverly Hwy, Lansing, MI 48911-6303 | 2019-12-23 |
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1518428333 | Alternative Adult Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19163 Woodingham Dr, Detroit, MI 48221-1650 | 2019-03-26 |
| 1245701960 | Teresa Elaine Guzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 Marvin St, Battle Creek, MI 49017-8040 | 2018-12-06 |
| 1508334764 | Marquette Staffing Agency, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 592 Blemhuber Ave, Marquette, MI 49855-4818 | 2018-11-06 |
| 1912481235 | Adrienne Flowers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18403 Kentucky St, Detroit, MI 48221-2029 | 2018-09-21 |
| 1417431487 | Helping Hands Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5116 18th Rd, Escanaba, MI 49829-9525 | 2018-09-17 |
| 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.