CARE RESOURCE TEAM (NPI# 1740751346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740751346 |
| Entity Type | Organization |
| Organization Name | CARE RESOURCE TEAM |
| Practice Address |
5758 Cooley Lake Rd Waterford MI 48327-3073 |
| Mailing Address |
1327 Sherwood Forest Ct Waterford MI 48327-1677 |
| Practice Telephone | 2484217633 |
| Mailing Telephone | 2484217633 |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | JERRI D MEDVED (OWNER) |
| Authorized Official Telephone | 2484217633 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1376593228 | 05 |
| Street Address |
5758 COOLEY LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916702 | Shanna Lynn Driscoll | Registered Nurse | 5758 Cooley Lake Rd, Waterford, MI 48327-3073 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598254344 | Jerri Dee Medved | Registered Nurse | 1327 Sherwood Forest Ct, Waterford, MI 48327-1677 | 2018-05-08 |
| 1366916702 | Shanna Lynn Driscoll | Registered Nurse | 5758 Cooley Lake Rd, Waterford, MI 48327-3073 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677869 | Linda Denise Harter | Registered Nurse | 7000 Eagle Rd, Davisburg, MI 48350-3200 | 2020-10-20 |
| 1396351458 | Nina Mattucci | Registered Nurse | 144 Rockway Dr, Linden, MI 48451-9140 | 2020-09-23 |
| 1679192124 | Edward Lawrence Demaagd | Registered Nurse | 4635 Lucas Dr Sw, Grandville, MI 49418-2293 | 2020-04-15 |
| 1255963161 | Ruth Hoogmoed | Registered Nurse | 6475 Bridlewood Ct Ne, Ada, MI 49301-9664 | 2020-02-08 |
| 1649815366 | Margaret Emily-pawlowski Bovee | Registered Nurse | 2444 Welsheimer Rd, Harbor Springs, MI 49740 | 2019-11-18 |
| 1356994099 | Wendy S Krause | Registered Nurse | 13266 Spence Rd, Three Rivers, MI 49093-9707 | 2019-07-22 |
| 1669037081 | Laura Esese | Registered Nurse | 3640 Brambleberry Dr Nw, Comstock Park, MI 49321-9796 | 2019-05-02 |
| 1306305925 | Paul J Klutts | Registered Nurse | 330 W Division St, Ishpeming, MI 49849-2340 | 2019-03-13 |
| 1053835736 | Great Lakes Adult Day Services, LLC | Registered Nurse | 19194 Augusta Ct, Livonia, MI 48152-4016 | 2017-08-03 |
| 1255883450 | Sheila Andrews | Registered Nurse | 24110 Beverly St, Oak Park, MI 48237-1942 | 2016-11-04 |
| 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.