WILLIS HOUSE INCORPORATED (NPI# 1730545146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730545146 |
| Entity Type | Organization |
| Organization Name | WILLIS HOUSE INCORPORATED |
| Practice Address |
82 Franklin Blvd Pontiac MI 48341-1703 |
| Practice Telephone | 2483206569 |
| Practice Fax Number | 8662321309 |
| Mailing Telephone | 2483206569 |
| Mailing Fax Number | 8662321309 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | MS. ANGELA D BARGE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2483206569 |
| Authorized Official Credential | M.B.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | AS630275064 | MI | Agencies |
| Street Address |
82 FRANKLIN BLVD |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942242615 | Catholic Social Services of Oakland County | Day Training, Developmentally Disabled Services | 50 Wayne St, 3rd Floor, Pontiac, MI 48342-2159 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696107 | Novus Living | Day Training, Developmentally Disabled Services | 7860 Wayne Rd, Romulus, MI 48174-1668 | 2020-07-21 |
| 1942850391 | Full Circle Care, LLC | Day Training, Developmentally Disabled Services | 5040 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2019-09-18 |
| 1649733635 | Dutton Farm, Inc | Day Training, Developmentally Disabled Services | 2290 Dutton Rd, Rochester Hills, MI 48306-2332 | 2019-04-08 |
| 1902360530 | Skill and Ability Education | Day Training, Developmentally Disabled Services | 4523 Connor Ct, Ypsilanti, MI 48197-9229 | 2019-01-28 |
| 1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1447731179 | Tony Edward Rice | Day Training, Developmentally Disabled Services | 21043 Bauman Rd, Battle Creek, MI 49017-8413 | 2018-08-21 |
| 1821590696 | Rise All Lives Matter | Day Training, Developmentally Disabled Services | 100 W Ferry St, Berrien Springs, MI 49103-1194 | 2018-03-07 |
| 1467976100 | Champions Forever, LLC | Day Training, Developmentally Disabled Services | 25750 Lahser Rd Ste 210, Southfield, MI 48033-5809 | 2017-08-02 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 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.