BERTRAM HAUS (NPI# 1578823175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578823175 |
| Entity Type | Organization |
| Organization Name | BERTRAM HAUS |
| Practice Address |
1330 Kenneth St Burton MI 48529-2206 |
| Mailing Address |
1330 Kenneth Street Burton MI 48529-2201 |
| Practice Telephone | 8107434020 |
| Practice Fax Number | 8107437370 |
| Mailing Telephone | 8107434020 |
| Mailing Fax Number | 8107437370 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MRS. KIM RENEE PAGE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8107434020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
AM250237981 | MI | Ambulatory Health Care Facilities |
| Street Address |
1330 KENNETH ST |
| City | BURTON |
| State | MI |
| Zip Code | 48529-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092678 | Moneka Lashay Washington | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2020-10-30 |
| 1750989828 | Kristin Ann Bartes | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2020-10-12 |
| 1487287298 | Krystal Marie Bartes | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2020-02-20 |
| 1699315176 | Skilar Rae Engman | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2020-01-13 |
| 1992342547 | Beatrice Chartae Lowe | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2019-12-03 |
| 1760024228 | Patricia Marshall | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2019-10-16 |
| 1093356693 | Aerial Renea Mcbride | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2019-10-04 |
| 1023664281 | Moniesha Petic Cole | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2019-08-14 |
| 1619523883 | Jasmine Chanelle-lashon Perkins | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2019-08-14 |
| 1053967224 | Rose Anna-theresa Tester | Community Health Worker | 1330 Kenneth St, Burton, MI 48529-2206 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874551 | Tonya Mary Lott | Nurse Practitioner | 3375 S. Saginaw St, Burton, MI 48529 | 2019-10-30 |
| 1093241028 | Christie Bigelow | Behavior Technician | 4476 South Dort Hwy, Burton, MI 48529 | 2017-05-11 |
| 1164961033 | Strive Center for Autism LLC | Behavioral Analyst | 4476 S Dort Hwy, Burton, MI 48529 | 2017-02-13 |
| 1013382357 | Joy Sandy | Nurse Practitioner | 3525 Saginaw Road, Burton, MI 48529 | 2015-12-12 |
| 1407253206 | Caring Hands Home Health Services | Home Health | G-3163 Flushing Road, 208, Flint, MI 48529 | 2014-11-24 |
| 1427489293 | Shauna Renee Miller | Physician Assistant | G-3375 S Saginaw St, Burton, MI 48529 | 2013-12-04 |
| 1801234521 | Amy Lyn Gomez | Registered Nurse | 1336 Allen St, Burton, MI 48529 | 2013-06-05 |
| 1285962720 | Burton Pharmacy Inc | Pharmacy | 3375 S Saginaw St, Burton, MI 48529 | 2009-11-20 |
| 1912128919 | Juliette Marie Perzhinsky | Internal Medicine | 3525 Saginaw Rd., Burton, MI 48529 | 2007-05-01 |
| 1639153075 | Loretta Catherine Nimmo | Nurse Practitioner | 3373 S. Saginaw St, Burton, MI 48529 | 2005-11-30 |
| Find all providers in zip 48529 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306334115 | Endeavor Behavioral Health, LLC | Clinic/Center | 225 Michigan St. Nw #3520, Grand Rapids, MI 49501-3520 | 2018-04-26 |
| 1659536167 | O.t. Inc | Clinic/Center | 2180 Western Meadows Dr, Flushing, MI 48433-9447 | 2008-07-23 |
| 1013087345 | Latino Family Services | Clinic/Center | 3815 W Fort St, Detroit, MI 48216-1652 | 2006-11-08 |
| 1144830217 | Milestones Aba Therapy | Clinic/Center | 7301 Schaefer Rd, Dearborn, MI 48126-4915 | 2020-08-04 |
| 1992286306 | Lifelab Kids Foundation | Clinic/Center | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2018-08-23 |
| 1407361538 | Residential Opportunities, Inc. | Clinic/Center | 416 Washington St, Three Rivers, MI 49093-1130 | 2017-12-12 |
| 1730694886 | Residential Opportunities, Inc. | Clinic/Center | 1800 S 35th St, Galesburg, MI 49053-9688 | 2017-12-12 |
| 1538674676 | Residential Opportunities, Inc. | Clinic/Center | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-12-12 |
| 1154776201 | Center for Exceptional Families | Clinic/Center | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2016-04-26 |
| 1033510821 | Dearborn Speech and Sensory Center, Inc | Clinic/Center | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2014-09-11 |
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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.