WAYNE COUNTY JUVENILE DETENTION FACILITY (NPI# 1679881478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679881478 |
| Entity Type | Organization |
| Organization Name | WAYNE COUNTY JUVENILE DETENTION FACILITY |
| Other Organization Name | WAYNE COUNTY DEPARTMENT OF CHILDREN AND FAMILY SERVICES |
| Practice Address |
1326 Saint Antoine St Detroit MI 48226-2301 |
| Practice Telephone | 3139672050 |
| Practice Fax Number | 3139676552 |
| Mailing Telephone | 3139672050 |
| Mailing Fax Number | 3139676552 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Authorized Official Name | MR. TADARIAL STURDIVANT (DIRECTOR) |
| Authorized Official Telephone | 3138337125 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | CE820201498 | MI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wayne County Department of Children and Family Services | Other Name - Individual/Organization |
| Street Address |
1326 SAINT ANTOINE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48226-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689820078 | Margaret Mary Casey | Psychiatry & Neurology | 1326 Saint Antoine St, Detroit, MI 48226-2301 | 2008-08-18 |
| 1073058228 | Pamela Smith Bradford | Dentist | 1326 Saint Antoine St, Detroit, MI 48226-2301 | 2016-12-26 |
| 1265705487 | Samuel Sonny Nwosu | Obstetrics & Gynecology | 1326 Saint Antoine St, Detroit, MI 48226-2301 | 2012-02-18 |
| 1982932794 | Charless Norman Inniss | Pediatrics | 1326 Saint Antoine St, Health Services, Detroit, MI 48226-2301 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065314 | Henr Y Ford Health System | Pharmacy | 1777 3rd. Ave, Detroit, MI 48226 | 2019-10-21 |
| 1912413386 | Vitalizing Care Consultants LLC | Home Health Aide | 1420 Washington Blvd Ste 301, Detroit, MI 48226 | 2017-12-21 |
| 1639699945 | Runners Transportation LLC | Non-emergency Medical Transport (VAN) | 111 Cadilac, Apt 16j, Detroit, MI 48226 | 2017-06-27 |
| 1174056857 | Nariman Nassiri | Student in an Organized Health Care Education/Training Program | 200 Riverfront Dr., Apt 11g, Detroit, MI 48226 | 2017-04-10 |
| 1982143384 | Strategic Operation Solutions | Case Management | 407 E. Fort St., Suite 407, Detroit, MI 48226 | 2017-02-17 |
| 1700329315 | Jacob Chaffee | Pharmacist | 600 E. Lafayette Blvd, Mail Code 512c, Detroit, MI 48226 | 2016-11-30 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
| 1689006488 | The Literacy Center | Non-emergency Medical Transport (VAN) | 645 Griswold Street, Suite 1300, Detroit, MI 48226 | 2013-08-02 |
| 1972834422 | Lydia J Commissaris | Nurse Practitioner | 45 W. Grand River Ave, Detroit, MI 48226 | 2010-01-22 |
| Find all providers in zip 48226 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711546 | Nationwide Community Housing Inc | Custodial Care Facility | 14391 Coyle St, Detroit, MI 48227-2585 | 2018-12-16 |
| 1811291529 | Delightful Senior Care, LLC. | Custodial Care Facility | 17572 San Juan Dr, Detroit, MI 48221-2641 | 2011-01-10 |
| 1023310588 | Berry Adult Foster Care Homes Inc | Custodial Care Facility | 3640 Mcdougall St, Detroit, MI 48207-2344 | 2010-12-03 |
| 1619112554 | Exceptional Deliverence Ministries | Custodial Care Facility | 19774 Forrer St, Detroit, MI 48235-2307 | 2008-12-06 |
| 1437303104 | Beverly A Koonce | Custodial Care Facility | 16520 Whitcomb St, Detroit, MI 48235-3859 | 2008-11-07 |
| 1386094340 | City Home Care, LLC | Custodial Care Facility | 17183 Griggs St, Detroit, MI 48221-2426 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564715 | Nicole Marie Hutchinson | Custodial Care Facility | 519 S Vander Meulen Rd, Lake City, MI 49651-8717 | 2020-10-01 |
| 1831796028 | Sheila Ann Breiler | Custodial Care Facility | 631 S Vander Meulen Rd, Lake City, MI 49651-9367 | 2020-10-01 |
| 1033726427 | M & T Adult Foster Care, Inc | Custodial Care Facility | 5478 210th Ave, Reed City, MI 49677-8626 | 2020-09-29 |
| 1457974388 | Leeanne Marie Love Woolley | Custodial Care Facility | 621 S M 30, Gladwin, MI 48624-8443 | 2020-05-27 |
| 1326675950 | Timothy Alan Rantz | Custodial Care Facility | 1564 N M 63, Benton Harbor, MI 49022-2759 | 2020-03-24 |
| 1437782075 | Sharon Lynn Dewey | Custodial Care Facility | 1425 Ziggy Rd., Farwell, MI 48622 | 2020-02-21 |
| 1164055380 | Palmer's Place Inc | Custodial Care Facility | 1009 S. St. Johns Rd, Ithaca, MI 48847 | 2020-02-17 |
| 1508400771 | Margaret M Dandron | Custodial Care Facility | 5740 Twin Lake Ave, Lake, MI 48632 | 2019-10-31 |
| 1831747500 | Rhonda L Owens | Custodial Care Facility | 3819 S Wise Rd, Mount Pleasant, MI 48858-8100 | 2019-08-27 |
| 1164905683 | Autumn Ridge Gardens | Custodial Care Facility | 412 Marsac St, Bay City, MI 48708-7780 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
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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.