MR. MICHAEL JAMES YARBROUGH (NPI# 1518214790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518214790 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JAMES YARBROUGH |
| Credential | MS |
| Practice Address |
9605 Grand River Ave Detroit MI 48204-2139 |
| Mailing Address |
20220 Winthrop St Detroit MI 48235-1815 |
| Practice Telephone | 3138345930 |
| Practice Fax Number | 3138344541 |
| Mailing Telephone | 3133415842 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730502063 | Michael Yarbrough | Dentist | 21954 Kingsland Blvd, Katy, TX 77450-2428 | 2014-01-22 |
| 1215144993 | Michael W. Yarbrough | Dentist | 3640 Chamblee Tucker Rd, Chamblee, GA 30341-4418 | 2007-05-16 |
| Street Address |
9605 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48204-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033251269 | Nardin Park Recovery Center,inc. | Clinic/Center | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2007-02-13 |
| 1053954354 | Geraldine Morehead-johnson | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2019-10-21 |
| 1841774205 | Kelly Porter | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-09-21 |
| 1467945279 | Audrey Hendricks | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-06-07 |
| 1184143182 | Brittany Shanae Ford | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2017-09-12 |
| 1528506649 | Kelli Turner | Licensed Practical Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2017-02-09 |
| 1134662109 | Ilene Bishaw | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2016-11-23 |
| 1871974568 | Tamiko Conner | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2015-06-18 |
| 1821485087 | Heather Rajter | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2015-04-24 |
| 1902200454 | David Scott | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2014-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
| 1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
| 1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
| 1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
| 1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
| 1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
| 1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
| Find all providers in zip 48204 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457718165 | Shar Inc. | Substance Abuse Rehabilitation Facility | 9961 Patton St, Detroit, MI 48228-1217 | 2016-01-26 |
| 1073988333 | Sobriety House | Substance Abuse Rehabilitation Facility | 2150 E Vernor Hwy, Apt 413, Detroit, MI 48207-2744 | 2015-12-11 |
| 1003180902 | Cherry Streat Health Services | Substance Abuse Rehabilitation Facility | 11105 E Jefferson Ave, Detroit, MI 48214-3317 | 2012-02-24 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1861778680 | Pure Recovery Inc. | Substance Abuse Rehabilitation Facility | 19406 Norwood St, Detroit, MI 48234-1870 | 2011-10-25 |
| 1396047239 | Renaissance Recovery | Substance Abuse Rehabilitation Facility | 5250 John R St, Detroit, MI 48202-4030 | 2010-11-29 |
| 1912227075 | Juda Transitional & Recovery House | Substance Abuse Rehabilitation Facility | 5579 Vancouver St, Detroit, MI 48204-3607 | 2010-06-10 |
| 1386974913 | Stategies of Life Outreach Centers | Substance Abuse Rehabilitation Facility | 17850 Mcdougall St, Detroit, MI 48212-1040 | 2010-01-04 |
| 1922335181 | Robert IIi Baptiste Thompson | Substance Abuse Rehabilitation Facility | 2616 Puritan St, Detroit, MI 48238-1420 | 2009-11-09 |
| 1013143676 | Marian's Center for Woman's Growth | Substance Abuse Rehabilitation Facility | 5247 Sheridan St, Detroit, MI 48213-2868 | 2009-06-09 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MR. MICHAEL JAMES YARBROUGH.
| 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.