TITO TIMMONS BENTLEY (NPI# 1730680406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730680406 |
| Entity Type | Individual |
| Full Name | TITO TIMMONS BENTLEY |
| Practice Address |
19309 Greenfield Rd Detroit MI 48235-2004 |
| Mailing Address |
25681 Code Rd Southfield MI 48033-5813 |
| Practice Telephone | 3133007177 |
| Mailing Telephone | 3133007177 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
19309 GREENFIELD RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528569209 | Michigan Adult Empowerment Center, LLC | Clinic/Center | 19309 Greenfield Rd, Detroit, MI 48235-2004 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874122 | Hannan Center | Clinic/Center | 4750 Woodward Ave, Detroit, MI 48201-1300 | 2019-11-04 |
| 1750934345 | Gratitude House | Clinic/Center | 19954 Conant St Ste C, Detroit, MI 48234-1595 | 2019-07-22 |
| 1538721956 | Loving Care Resource Group Inc | Clinic/Center | 10900 Whittier St, Detroit, MI 48224-1639 | 2019-07-05 |
| 1649730243 | Kisha Friley | Clinic/Center | 8000 Greenfield Rd, Detroit, MI 48228-2221 | 2019-03-21 |
| 1629538046 | Living Life Adult Program LLC | Clinic/Center | 19740 James Couzens Fwy, Detroit, MI 48235-1936 | 2019-03-21 |
| 1003392135 | New Beginnings Adult Center Inc | Clinic/Center | 18954 Greenfield Rd, Detroit, MI 48235 | 2018-07-11 |
| 1477083871 | Grace By Faith Senior Center LLC | Clinic/Center | 11200 E Jefferson Ave, Detroit, MI 48214-3320 | 2017-06-18 |
| 1992166136 | Caring By Faith Adult Day Carellc | Clinic/Center | 8844 Joy Rd, Detroit, MI 48204-3224 | 2016-03-16 |
| 1982079752 | Active Hands LLC | Clinic/Center | 5542 Alter Rd, Detroit, MI 48224-2904 | 2015-12-04 |
| 1417333931 | Gilbert | Clinic/Center | 15800 Fairmount Dr, Detroit, MI 48205-1448 | 2015-08-06 |
| Find all providers in DETROIT | ||||
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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.