SACRED HEART (NPI# 1699878728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699878728 |
| Entity Type | Organization |
| Organization Name | SACRED HEART |
| Practice Address |
400 Stoddard Rd. Memphis MI 48041 |
| Mailing Address |
7094 Bryce Rd Clyde MI 48049-3400 |
| Practice Telephone | 8103922167 |
| Mailing Telephone | 8103246077 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALLEN JAMES EIFERT (THERAPIST) |
| Authorized Official Telephone | 8103922167 |
| Authorized Official Credential | CACII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | #500044 | MI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043314347 | Sacred Heart | Substance Abuse Rehabilitation Facility | 1910 Ditty Rd, Kimball, MI 48074 | 2006-09-08 |
| 1104286210 | Sacred Heart | In Home Supportive Care | 1474 Sw 26th Ave, Deerfield Beach, FL 33442-6015 | 2016-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SACRED HEART - ST. LOUIS ASSEMBLY #3341 | 605 7th St, Gervais, OR 97026 |
| Oregon Corporations, Companies and Business Names | SACRED HEART - UNIV DISTRICT | 1255 Hilyard St, Eugene, OR 97401 |
| System for Award Management (SAM) Entities | SACRED HEART APTS | 8365 Factory St, Cicero, NY 13039-9581 |
| System for Award Management (SAM) Entities | SACRED HEART ASSOCIATES, L.P. | 1 Father Finian Sullivan Dr, Yonkers, NY 10703-2841 |
| System for Award Management (SAM) Entities | SACRED HEART CARE, INC. | 6340 Fort King Road Ste 5, Zephyrhills, FL 33542-2531 |
| Washington State Corporations | SACRED HEART CATHOLIC BOOK AND GIFT, LLC | Po Box 65732, University Place, WA 98464 |
| Iowa Business Entities | SACRED HEART CATHOLIC CEMETERY ASSOCIATION, OELWEIN, IOWA | 600 First Avenue Sw, Oelwein, IA 50662 |
| Oregon Corporations, Companies and Business Names | SACRED HEART CATHOLIC CHURCH OF ATHENA, INC. | 5th & College, Athena, OR 97813 |
| Iowa Business Entities | SACRED HEART CATHOLIC CHURCH OF AYRSHIRE | 2001 Broadway., Po Box 322, Emmetsburg, IA 50536 |
| Oregon Corporations, Companies and Business Names | SACRED HEART CATHOLIC CHURCH OF KLAMATH FALLS, INC. | 815 High St, Klamath Falls, OR 97601 |
| Street Address |
400 STODDARD RD. |
| City | MEMPHIS |
| State | MI |
| Zip Code | 48041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020476 | Nancy Carole Mills | Counselor | 400 Stoddard Rd., Memphis, MI 48041-4103 | 2006-09-05 |
| 1881165140 | Jillian Rosemary Suminski | Peer Specialist | 400 Stoddard Rd., Memphis, MI 48041 | 2018-12-16 |
| 1437211083 | Shana Lynn Spencer | Counselor | 400 Stoddard Rd., Memphis, MI 48027 | 2006-12-13 |
| 1922105337 | Joyce Foster-hartsfield | Family Medicine | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-20 |
| 1003914805 | Karen S. Brooks | Counselor | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-20 |
| 1023112166 | Michael John Maniscalco | Counselor | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-11 |
| 1063516268 | Rita Wichtner | Counselor | 400 Stoddard Rd., Memphis, MI 41038-1038 | 2006-09-11 |
| 1083717417 | Cindy Lee Nash | Registered Nurse | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255533386 | Larry Gideon, M D | Family Medicine | 609 Bunnell M 19, Memphis, MI 48041 | 2007-06-01 |
| 1184647216 | Nicola Iosif Jaksa | Chiropractor | 35040 Helze Lane, Memphis, MI 48041 | 2006-07-26 |
| 1144749128 | Laura Elizabeth Taylor | Technician/Technologist | 3111 Electric Ave., Port Huron, MI 48041 | 2017-09-11 |
| 1811043466 | Jeffrey Michael Steenbergh | Social Worker | 400 Stoddard Rd, Memphis, MI 48041 | 2007-01-26 |
| 1891881561 | Pamela Jones | Licensed Practical Nurse | 400 Stoddard Rd, Memphis, MI 48041 | 2006-10-04 |
| 1780789578 | Mary Ann Golish | Counselor | 400 Stoddard Road, Memphis, Memphis, MI 48041 | 2006-09-14 |
| 1154424455 | Gerald Charles Zemens | Counselor | 400 Stoddard Road, Box 41038, Memphis, MI 48041 | 2006-09-06 |
| 1235225863 | Billie Fay Deke | Licensed Practical Nurse | 400 Stoddard, Memphis, MI 48041-1038 | 2006-10-04 |
| 1245333517 | Frances Louise Deponio | Counselor | 400 Stoddard Ave., Memphis, MI 48041-1038 | 2006-09-05 |
| 1710089065 | Mary Ann Dooley | Counselor | 400 Stoddard Road, Memphis, MI 48041-1038 | 2006-09-05 |
| Find all providers in zip 48041 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1447536875 | Children's Bureau Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 868 N Manassas St, Memphis, TN 38107-2516 | 2011-10-31 |
| 1629307046 | Arthur Lee Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 5425 Meadowick Ave, Memphis, TN 38115-3643 | 2009-12-14 |
| 1861687899 | The Agency for Youth and Family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1071 Mullins Station Rd, Memphis, TN 38134-7723 | 2007-09-12 |
| 1558916213 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7410 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-08-08 |
| 1356783195 | Daughters of Zion All Women's Bible College | Residential Treatment Facility, Emotionally Disturbed Children | 4400 Hickory Hill Rd, Memphis, TN 38141-6818 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393408 | Charles and Rose Kelley Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 718 Somerset Rd, Saginaw, MI 48638-6262 | 2016-05-09 |
| 1659621597 | Boys To Men Group Home, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 6025 Litchfield Ln, Kalamazoo, MI 49009-9128 | 2012-09-18 |
| 1902156359 | Ian Warnsley | Residential Treatment Facility, Emotionally Disturbed Children | 1204 Jenks Blvd, Kalamazoo, MI 49006-2179 | 2012-09-13 |
| 1063786168 | Adolescence In Motion | Residential Treatment Facility, Emotionally Disturbed Children | 237 N Old Woodward Ave Ste 5, Birmingham, MI 48009-5305 | 2012-03-07 |
| 1750618419 | Lakeside for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3921 Oakland Dr, Kalamazoo, MI 49008-4819 | 2009-11-17 |
| 1518110386 | Don Bosco Hall | Residential Treatment Facility, Emotionally Disturbed Children | 10001 Petoskey Ave, Detroit, MI 48204-3908 | 2008-10-24 |
| 1487841730 | The Salvation Army Denby Center | Residential Treatment Facility, Emotionally Disturbed Children | 20775 Pembroke Ave, Detroit, MI 48219-1345 | 2007-10-01 |
| 1003022922 | Dalila Joy Beard | Residential Treatment Facility, Emotionally Disturbed Children | 2300 N Adrian Hwy, Adrian, MI 49221-1728 | 2007-05-15 |
| 1720123706 | Highfields | Residential Treatment Facility, Emotionally Disturbed Children | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2007-02-20 |
| 1154472710 | Boys & Girls Republic | Residential Treatment Facility, Emotionally Disturbed Children | 28000 W 9 Mile Rd, Farmington Hills, MI 48336-3812 | 2007-01-12 |
| 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.