SPECTRUM COMMUNITY SERVICES (NPI# 1730570797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730570797 |
| Entity Type | Organization |
| Organization Name | SPECTRUM COMMUNITY SERVICES |
| Practice Address |
3353 Lousma Dr Se Wyoming MI 49548-2251 |
| Practice Telephone | 6162416258 |
| Practice Fax Number | 6162416470 |
| Mailing Telephone | 6162416258 |
| Mailing Fax Number | 6162416470 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | MRS. MICHELLE CHARLOTTE VOORHEIS (SUPPORTS COORDINATOR) |
| Authorized Official Telephone | 6162416258 |
| Authorized Official Credential | LLBSW |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 6802088037 | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164577391 | Spectrum Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28303 Joy Rd, Westland, MI 48185-5524 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM COMMUNITY SERVICES | 28303 Joy Rd, Westland, MI 48185-5524 |
| Street Address |
3353 LOUSMA DR SE |
| City | WYOMING |
| State | MI |
| Zip Code | 49548-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255665352 | Lindsey Diane Taylor-durfee | Registered Nurse | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2009-09-23 |
| 1750935599 | Rachel Lantigua | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-07-30 |
| 1144886920 | Jasmin Gaytan | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-05-16 |
| 1992368880 | Karter Huber | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-04-17 |
| 1073073839 | Jeannette High | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-03-20 |
| 1487113346 | Shawna Johnson | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-03-19 |
| 1447724521 | Yagin An | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-01-11 |
| 1376013029 | Kaymi Rachelle Hargrove | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-11-26 |
| 1851869739 | Inez Rubio Escareno IIi | Case Manager/Care Coordinator | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-11-08 |
| 1720554181 | Megan Nicole Staat | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508258971 | Jacquelyn Rae Rangel | Case Management | 1755 Delwood Ave Sw, Wyoming, MI 49509-5616 | 2015-02-23 |
| 1992195630 | Moka | Case Management | 5281 Clyde Park Ave Sw, Suite 2, Wyoming, MI 49509-9506 | 2015-02-03 |
| 1255755278 | Milestones 2 Life Inc. | Case Management | 740 32nd St Se Ste 2, Wyoming, MI 49548-2329 | 2014-02-11 |
| 1346665858 | Melissa Fisk | Case Management | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2014-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251965 | Care Management Systems LLC | Case Management | 52851 Camelot Ct, Shelby Township, MI 48315-2570 | 2020-09-28 |
| 1285240663 | A Parents' Gift, LLC | Case Management | 965 Ravine Terrace Ct, Rochester Hills, MI 48307-2720 | 2020-09-21 |
| 1972118446 | Mama and Me Mihp, LLC | Case Management | 44540 Harmony Ln, Van Buren Twp, MI 48111-2410 | 2020-09-11 |
| 1700499811 | Michigan United Cerebral Palsy | Case Management | 23077 Greenfield Rd Ste 205, Southfield, MI 48075-3745 | 2020-08-28 |
| 1770195851 | Christine Lynn Shepard | Case Management | 8448 Buffalo Dr, Commerce Township, MI 48382-3404 | 2020-08-19 |
| 1841826955 | Elisha Etienne LLC | Case Management | 4720 Romeo Ln, Northville, MI 48167-8699 | 2020-03-20 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1205485752 | Senior Chronic Care Management, LLC | Case Management | 13301 Mound Rd Ste 3b, Hamtramck, MI 48212-2545 | 2019-09-07 |
| 1255988838 | Kiri Deyoung | Case Management | 878 Grandville Ave Sw Apt 4, Grand Rapids, MI 49503-4985 | 2019-08-20 |
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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.