VICKIE CLOUSE (NPI# 1639655285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639655285 |
| Entity Type | Individual |
| Full Name | VICKIE CLOUSE |
| Credential | BSW |
| Practice Address |
1110 Eldon Baker Dr Flint MI 48507-1923 |
| Practice Telephone | 8107424968 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2284 S Ballenger Hwy Ste G, Flint, MI 485033446 | 8102217871 |
| Street Address |
1110 ELDON BAKER DR |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033515 | Cassandra L Coney-stewart | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2006-06-18 |
| 1376142042 | Britny Madison Childers | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-10-22 |
| 1124634100 | Amber Minando | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-09-16 |
| 1215545470 | Danielle Elizabeth Hack | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-14 |
| 1649898610 | Amber Lynn Mcmillin | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-07 |
| 1255954517 | Paul Kilgore | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-21 |
| 1720600968 | Daniel Nacker | Specialist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-11 |
| 1043850100 | Martell Lee | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-01-07 |
| 1386286862 | Kelly Sue Sheppard | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-16 |
| 1437790359 | Eugene Mahon | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308348 | Ashley Sisco | Technician | 2006 W Mcclellan St, Flint, MI 48504-2521 | 2019-10-24 |
| 1215413554 | Susan Rose Frazier | Technician | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2018-07-18 |
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|---|---|---|---|---|
| 1164021028 | Jaharie Green | Technician | 235 Arbor Glen Dr, East Lansing, MI 48823-8459 | 2020-10-21 |
| 1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
| 1346857067 | Nicholas Luke Roman | Technician | 10452 Lodge Dr, Allendale, MI 49401-9395 | 2020-09-27 |
| 1346856242 | Marissa Jean Brandly | Technician | 768 W Castlebury Cir, Saline, MI 48176-1348 | 2020-09-17 |
| 1962016030 | Stephanie Pertchi | Technician | 10745 48th Ave Unit Q3, Allendale, MI 49401-8127 | 2020-09-04 |
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1477166924 | Whispering Pines 2 | Technician | 1878 Soules Rd, Afton, MI 49705-9717 | 2020-08-25 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1285242420 | Anna Therese Pignone | Technician | 918 E Grand River Ave Apt 718, East Lansing, MI 48823-4597 | 2020-07-14 |
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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.