CENTRIA HEALTHCARE (NPI# 1699127621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699127621 |
| Entity Type | Organization |
| Organization Name | CENTRIA HEALTHCARE |
| Practice Address |
11051 Sandy Oak Trl Cedar Springs MI 49319-9238 |
| Practice Telephone | 6169707735 |
| Mailing Telephone | 6169707735 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | MANDI MARIE MEIER (ABA TECHNICIAN) |
| Authorized Official Telephone | 6169707735 |
| 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 |
|---|---|---|---|---|
| 1437603578 | Centria Healthcare | Case Management | 2848 Clement St, Flint, MI 48504-3028 | 2016-08-06 |
| 1306399464 | Centria Healthcare | Case Management | 11310 Balfour Rd, Detroit, MI 48224-1111 | 2016-07-25 |
| 1881046217 | Centria Healthcare | Community/Behavioral Health | 3813 Clotell Dr, Fort Worth, TX 76119-7742 | 2016-07-09 |
| 1144672650 | Centria Healthcare | Technician, Other | 17591 Santa Rosa Dr, Detroit, MI 48221-2644 | 2016-07-08 |
| 1518313246 | Centria Healthcare | Technician, Other | 1477 Burke Ave Ne Apt B, Grand Rapids, MI 49505-5366 | 2016-05-12 |
| 1669864484 | Centria Healthcare | Case Management | 17361 Prest St, Detroit, MI 48235-3731 | 2015-03-03 |
| 1649677873 | Centria Healthcare | Clinic/Center | 7893 Harding St, Taylor, MI 48180-2535 | 2014-12-03 |
| 1942623871 | Centria Healthcare | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2014-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRIA HEALTHCARE LLC | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 |
| Virginia Business Entities | Centria Healthcare LLC | 27777 Inkster Road, Suite 100, Farmington Hills, Michigan 48334 |
| Colorado Business Entities | Centria Healthcare LLC | 27777 Inkster Rd., Ste. 100, Farmington Hills, MI 48334 |
| Washington State Corporations | CENTRIA HEALTHCARE LLC | 4816 Aurora Ave N, Seattle, WA 98103 |
| Oregon Corporations, Companies and Business Names | CENTRIA HEALTHCARE LLC | 27777 Inkster, Suite 100, Farmington Hills, MI 48334 |
| Indiana Business Entities | CENTRIA HEALTHCARE LLC | 41521 W 11 Mile Rd, Novi, MI 48375 |
| New York State Corporations | CENTRIA HEALTHCARE LLC | One Commerce Plaza, 99 Washington Avenue Ste 805-a, Albany, Ny 12210 |
| Street Address |
11051 SANDY OAK TRL |
| City | CEDAR SPRINGS |
| State | MI |
| Zip Code | 49319-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218158 | Jodi Ann Cornelius | Counselor | 16519 Doe Dr Ne, Cedar Springs, MI 49319 | 2019-10-29 |
| 1235643131 | Sarah Elizabeth Martines | Behavior Technician | 64 Hemlock Ave, Cedar Springs, MI 49319 | 2017-11-30 |
| 1881834455 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319 | 2009-02-23 |
| 1588748313 | Craig Louis Wilson | Chiropractor | 26 S Main, Box 279, Cedar Springs, MI 49319 | 2006-10-25 |
| 1770502387 | Thomas Bernard Cox | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1861972986 | Kathrine E Post | Nurse Practitioner | 14211 White Creek Ave Ne, Cedar Springs, MI 49319 | 2018-08-17 |
| 1265451884 | Alissa Marie Matthews | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1598934150 | Cedar Springs Eye Care Inc | Optometrist | 26 S Main, Cedar Springs, MI 49319-5118 | 2008-02-27 |
| 1588939375 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3700 17 Mile Rd, Cedar Springs, MI 49319-7974 | 2012-03-13 |
| 1225449515 | Jason Patrick Housner | Pharmacist | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319-7974 | 2014-05-08 |
| Find all providers in zip 49319 | ||||
| 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 |
|---|---|---|---|---|
| 1053591289 | Northern Counseling Services PC | Community/Behavioral Health | 261 N Main, Cedar Springs, MI 49319-8041 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR SPRINGS |
| Zip Code | 49319 |
Please comment or provide details below to improve the information on CENTRIA HEALTHCARE.
| 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.