HAVEN HOME PHYSICIANS, PC (NPI# 1629444690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629444690 |
| Entity Type | Organization |
| Organization Name | HAVEN HOME PHYSICIANS, PC |
| Practice Address |
408 S Main St Plymouth MI 48170-1709 |
| Mailing Address |
11373 Willow Wood Ln Plymouth MI 48170-3593 |
| Practice Telephone | 7345608953 |
| Mailing Telephone | 7345608953 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | MR. KEVIN RUARK (PRACTICE MANAGER) |
| Authorized Official Telephone | 7345608953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
408 S MAIN ST |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437513082 | Haven Hhc Mi LLC | Home Health | 408 S Main St, Plymouth, MI 48170-1709 | 2016-04-11 |
| 1376902379 | Haven Home Health Care, LLC | Home Health | 408 S Main St, Plymouth, MI 48170-1709 | 2016-02-18 |
| 1801254685 | Haven Hospice Mi, LLC | Hospice Care, Community Based | 408 S Main St, Plymouth, MI 48170-1709 | 2016-02-08 |
| 1205209079 | Alliance Family Home Health Services, LLC | Home Health | 408 S Main St, Plymouth, MI 48170-1709 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821593138 | Kathleen Marie Smith | Nurse Practitioner | 44456 Brookside Rd, Plymouth, MI 48170-3848 | 2018-03-28 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1285879387 | Karen V Hebshie-bishop | Nurse Practitioner | 47 Obery St Ste 1a, Plymouth, MA 02360-2230 | 2008-12-04 |
| 1205896511 | Polly A Nesset | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2006-03-23 |
| 1568431583 | Anna Joyce Kennel | Nurse Practitioner | 2505 Oak Rd, Plymouth, IN 46563-9757 | 2006-03-14 |
| 1912360223 | Dina Khaled | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2016-04-04 |
| 1942637434 | Barbara Greenwell | Nurse Practitioner | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2013-09-30 |
| 1811320997 | Katharine Schmid | Nurse Practitioner | 116 Court St, Plymouth, MA 02360-8710 | 2013-08-13 |
| 1265878987 | Casey C O'boyle | Nurse Practitioner | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2013-05-21 |
| 1407100357 | Kathleen Powers Graham | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2012-10-30 |
| Find all providers in PLYMOUTH | ||||
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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.