ENNIS CENTER FOR CHILDREN, INC (NPI# 1689098121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689098121 |
| Entity Type | Organization |
| Organization Name | ENNIS CENTER FOR CHILDREN, INC |
| Practice Address |
20100 Greenfield Rd Detroit MI 48235 |
| Mailing Address |
129 E 3rd St Flint MI 48502-1728 |
| Practice Telephone | 3133422699 |
| Practice Fax Number | 3133422180 |
| Mailing Telephone | 8102334031 |
| Mailing Fax Number | 8102374141 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | ROBERT ENNIS (PRESIDENT) |
| Authorized Official Telephone | 8102334031 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104244953 | Ennis Center for Children, Inc | Social Worker | 91 S Telegraph Rd, Pontiac, MI 48341-1580 | 2014-03-30 |
| Street Address |
20100 GREENFIELD RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851468441 | Rajendra Kanneganti | Psychiatry & Neurology | 20100 Greenfield Rd, Detroit, MI 48235-1803 | 2006-11-29 |
| 1164832200 | Angell Love-jackson | Social Worker | 20100 Greenfield Rd, Detroit, MI 48235-1803 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1356988562 | Charlotte Yvonne Overall | Community/Behavioral Health | 13334 Longview St, Detroit, MI 48213-1919 | 2019-12-06 |
| 1477110054 | Reymac Home Healthcare LLC | Community/Behavioral Health | 13030 W 7 Mile Rd, Detroit, MI 48235-1335 | 2019-05-20 |
| 1033773528 | Great Futures Family Services Inc | Community/Behavioral Health | 11475 E Outer Dr, Detroit, MI 48224-3226 | 2019-04-30 |
| 1275197527 | Volunteers of America Michigan | Community/Behavioral Health | 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 | 2019-04-23 |
| 1891271458 | Bwl Care, LLC | Community/Behavioral Health | 16861 Wyoming St, Detroit, MI 48221-2850 | 2018-07-17 |
| 1780189365 | Fayna T Counseling Services Pllc | Community/Behavioral Health | 5575 Conner St Ste 208, Detroit, MI 48213-6401 | 2018-03-27 |
| 1912400508 | Your Voice and Choice, Pllc | Community/Behavioral Health | 12241 Vaughan St, Detroit, MI 48228-1008 | 2018-03-09 |
| 1508365560 | Zion's Hope Social Services LLC | Community/Behavioral Health | 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 | 2018-02-06 |
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 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.