THE SALVATION ARMY HABOR LIGHT ONWARD (NPI# 1568998425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568998425 |
| Entity Type | Organization |
| Organization Name | THE SALVATION ARMY HABOR LIGHT ONWARD |
| Other Organization Name | ONWARD |
| Practice Address |
24140 Mound Rd Warren MI 48091-5322 |
| Mailing Address |
42590 Stepnitz Dr Clinton Township MI 48036-3161 |
| Practice Telephone | 5869541838 |
| Mailing Telephone | 5869541838 |
| Mailing Fax Number | 5869549856 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MRS. MELINDA A. FIELDS (SITE ADMINISTRATOR) |
| Authorized Official Telephone | 5869541838 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | THE SALVATION ARMY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | SA0500484 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 192115 | 05 |
| Other Name | Type Code |
|---|---|
| Onward | Other Name - Individual/Organization |
| Street Address |
24140 MOUND RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| 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 |
|---|---|---|---|---|
| 1093331092 | Kaitlyn Lee Goodhart | Community/Behavioral Health | 2160 Howland Wilson Rd Ne, Warren, OH 44484-3921 | 2020-06-25 |
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1891331930 | Michael Jacob Limbeck | Community/Behavioral Health | 2088 Saratoga Ave Sw, Warren, OH 44485-3960 | 2019-11-25 |
| 1497317424 | Susan Elizabeth Kilpatrick | Community/Behavioral Health | 1901 Southwest Blvd Sw, Warren, OH 44485-3973 | 2019-06-29 |
| 1972090967 | Riverside Counseling, LLC | Community/Behavioral Health | 436 Pennsylvania Ave W, Warren, PA 16365-2238 | 2018-04-16 |
| 1871005306 | Crn Healthcare Inc | Community/Behavioral Health | 4087 Youngstown Rd Se, Warren, OH 44484-3368 | 2017-10-24 |
| 1689002719 | Macomb-oakland Home Care, Inc. | Community/Behavioral Health | 1999 Common Rd, Warren, MI 48092-2164 | 2013-10-29 |
| 1932391042 | Childrens Home of Detroit | Community/Behavioral Health | 6902 Chicago Rd, Warren, MI 48092-1686 | 2007-08-13 |
| 1043331994 | Children's Center for Treatment and Education | Community/Behavioral Health | 1885 Market St, Warren, PA 16365-1277 | 2007-04-02 |
| 1932759701 | April Marie Brenkert | Community/Behavioral Health | 103 W Market St, Warren, OH 44481-1017 | 2019-09-13 |
| Find all providers in WARREN | ||||
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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.