MATTIE JOHNSON (NPI# 1639548829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639548829 |
| Entity Type | Individual |
| Full Name | MATTIE JOHNSON |
| Practice Address |
20232 Hanna St Detroit MI 48203-1223 |
| Practice Telephone | 2489792320 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750808648 | Mattie B. Johnson | Nurse Practitioner | 13599 Virgil St, Detroit, MI 48223-3050 | 2017-08-23 |
| 1689805814 | Mattie Renee Johnson | Licensed Practical Nurse | 784 E 157th St, Cleveland, OH 44110-3037 | 2009-08-05 |
| Street Address |
20232 HANNA ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458742 | Tiffany Griffin | Chore Provider | 11000 W Mcnichols Rd Ste 224, Detroit, MI 48221-2390 | 2020-05-06 |
| 1437794732 | Kyle M Wright | Chore Provider | 17558 Saint Marys St, Detroit, MI 48235-3173 | 2019-11-10 |
| 1881238996 | Lakeita Lolita Mapp | Chore Provider | 15873 Robson St, Detroit, MI 48227-2642 | 2019-10-31 |
| 1659926947 | Michael Jerome Watkins | Chore Provider | 19460 Whitcomb St, Detroit, MI 48235-2059 | 2019-08-05 |
| 1225695828 | Sharniece Alexis Johnson | Chore Provider | 17355 Kentucky St, Detroit, MI 48221-2406 | 2019-05-20 |
| 1043874845 | Faizah Brown | Chore Provider | 19379 Plainview Ave, Detroit, MI 48219-2733 | 2019-04-26 |
| 1093282527 | Charli's Angels Home Healthcare Company | Chore Provider | 14570 Piedmont St, Detroit, MI 48223-2241 | 2018-11-02 |
| 1003318494 | Byron Jamez Smith Jr. | Chore Provider | 14352 Pierson St, Detroit, MI 48223-2740 | 2018-03-01 |
| 1346748464 | Tamika Lynn Mallory | Chore Provider | 9916 Coyle St, Detroit, MI 48227-2411 | 2018-01-23 |
| 1700303138 | Mary Eliza Knox | Chore Provider | 9560 Minock St, Detroit, MI 48228-1678 | 2017-08-25 |
| 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.