SACRED GARDEN (NPI# 1710511480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710511480 |
| Entity Type | Organization |
| Organization Name | SACRED GARDEN |
| Practice Address |
210 W University Dr Rochester MI 48307-1976 |
| Mailing Address |
266 Oakmont Auburn Hills MI 48326-3283 |
| Practice Telephone | 4829068547 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | SAMANTHA PIRO (PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 5869352488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1962977884 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SACRED GARDEN NY LLC | 1 Beach 105th Street, Apt 12u, Rockaway Park, New York 11694 |
| Oregon Corporations, Companies and Business Names | SACRED GARDEN OF 21 TARAS | 380 Lodenquai Lane, Eugene, OR 97404 |
| Colorado Business Entities | Sacred Garden Supply LLC | 2851 Jasmine Street, Denver, CO 80207 |
| Colorado Business Entities | Sacred Gardens LLC | 67569 Trout Rd, Montrose, CO 81403 |
| Street Address |
210 W UNIVERSITY DR |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770904344 | Donald Bell | Chiropractor | 210 W University Dr, #6, Rochester, MI 48307-1976 | 2013-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760023733 | Amanda Regan Mental Health Counseling, Pllc. | Clinic/Center | 722 Weiland Rd Ste 200, Rochester, NY 14626-3957 | 2019-10-01 |
| 1386209245 | Boice Counseling Lcsw PC | Clinic/Center | 572 Titus Ave Ste B, Rochester, NY 14617-3519 | 2019-05-07 |
| 1699251579 | Essential Insight Marriage and Family Therapy | Clinic/Center | 2300 Buffalo Rd Bldg 500a, Rochester, NY 14624-1370 | 2018-07-13 |
| 1700110079 | Britney Meyers | Clinic/Center | 40 16th St Se Ste D, Rochester, MN 55904-7987 | 2009-09-19 |
| 1205064680 | Heather Muxworthy Dnp(s), Pmhnp-bc, LLC | Clinic/Center | 3300 Monroe Ave Ste 309, Rochester, NY 14618-4615 | 2009-06-24 |
| 1962687921 | Valley Medical Facilities, Inc. | Clinic/Center | 176 Virginia Avenue, Heritage Valley Staunton Clinic Rochester, Rochester, PA 15074-1723 | 2008-01-08 |
| 1437365384 | Psychotherapy Associates, Inc. | Clinic/Center | 165 Rochester Hill Rd, Rochester, NH 03867-1728 | 2007-05-15 |
| 1164576203 | Cultural Behavior Health Services, LLC | Clinic/Center | 1500 1st Ave Ne Ste 111-bb, Rochester, MN 55906-4170 | 2007-01-23 |
| 1003868167 | Bluestem Center for Child and Family Development, P.a. | Clinic/Center | 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 | 2006-05-17 |
| 1174146088 | Grace and Peace Counseling, LLC | Clinic/Center | 337 Empire Blvd, Rochester, NY 14609-4457 | 2020-05-27 |
| Find all providers in ROCHESTER | ||||
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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.