POEM HUMANSERVICE DEVELOPMENT CORP. (NPI# 1558544429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558544429 |
| Entity Type | Organization |
| Organization Name | POEM HUMANSERVICE DEVELOPMENT CORP. |
| Practice Address |
4720 Junction St Detroit MI 48210-2518 |
| Mailing Address |
3372 18th St Detroit MI 48208-2550 |
| Practice Telephone | 3134101829 |
| Practice Fax Number | 3138961114 |
| Mailing Telephone | 3138967238 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | MR. EMANUEL MORRIS TAYLOR JR. (PRESIDENT) |
| Authorized Official Telephone | 3138967238 |
| Authorized Official Credential | CACM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1-00079 | MI | Agencies |
| Street Address |
4720 JUNCTION ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| Find all providers in zip 48210 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1356988562 | Charlotte Yvonne Overall | Community/Behavioral Health | 13334 Longview St, Detroit, MI 48213-1919 | 2019-12-06 |
| 1477110054 | Reymac Home Healthcare LLC | Community/Behavioral Health | 13030 W 7 Mile Rd, Detroit, MI 48235-1335 | 2019-05-20 |
| 1033773528 | Great Futures Family Services Inc | Community/Behavioral Health | 11475 E Outer Dr, Detroit, MI 48224-3226 | 2019-04-30 |
| 1275197527 | Volunteers of America Michigan | Community/Behavioral Health | 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 | 2019-04-23 |
| 1891271458 | Bwl Care, LLC | Community/Behavioral Health | 16861 Wyoming St, Detroit, MI 48221-2850 | 2018-07-17 |
| 1780189365 | Fayna T Counseling Services Pllc | Community/Behavioral Health | 5575 Conner St Ste 208, Detroit, MI 48213-6401 | 2018-03-27 |
| 1912400508 | Your Voice and Choice, Pllc | Community/Behavioral Health | 12241 Vaughan St, Detroit, MI 48228-1008 | 2018-03-09 |
| 1508365560 | Zion's Hope Social Services LLC | Community/Behavioral Health | 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 | 2018-02-06 |
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| Find all providers in DETROIT | ||||
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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.