THERESA KIMBERLY MATTHEWS (NPI# 1740827096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740827096 |
| Entity Type | Individual |
| Full Name | THERESA KIMBERLY MATTHEWS |
| Practice Address |
3920 Rivard St Apt 824 Detroit MI 48207-4746 |
| Mailing Address |
Po Box 43944 Detroit MI 48243-0944 |
| Practice Telephone | 3213470450 |
| Mailing Telephone | 3213470450 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 282E00000X | Long Term Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487027041 | Theresa Matthews | Occupational Therapy Assistant | 777 Tamiami Trl N, Naples, FL 34102-8135 | 2015-11-04 |
| 1508950635 | Theresa J Matthews | Nurse Practitioner | 21680 Al Highway 79, Scottsboro, AL 35768-5904 | 2006-10-03 |
| Street Address |
3920 RIVARD ST APT 824 |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023410099 | Rhymes Corporation | Hospice Care, Community Based | 19458 Harned St, Detroit, MI 48234-1507 | 2014-09-22 |
| 1962760967 | In House Hospitality | Hospice Care, Community Based | 15481 Manor St, Detroit, MI 48238-1670 | 2012-04-26 |
| 1780988337 | National Hospice Inc. | Hospice Care, Community Based | 17200 Lahser Rd, Detroit, MI 48219-3256 | 2010-12-22 |
| 1285952226 | Glory and Praise Hospice | Hospice Care, Community Based | 16573 Meyers Rd, Detroit, MI 48235-4110 | 2010-05-14 |
| 1346884525 | Crossroads Hospice Care | Hospice Care, Community Based | 7140 W Fort St, Detroit, MI 48209-2917 | 2019-10-31 |
| 1093157364 | Allied Home Health Care and Nursing Services LLC | Hospice Care, Community Based | 4800 Cadieux Rd, Detroit, MI 48224-2271 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487550 | Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 27680 Franklin Rd, Southfield, MI 48034-8203 | 2020-11-06 |
| 1356958649 | Serenity Hospice Care LLC | Hospice Care, Community Based | 33620 Five Mile Rd, Livonia, MI 48154-2866 | 2020-09-30 |
| 1467067983 | Asr Hospice Care, LLC | Hospice Care, Community Based | 1509 S State Rd Ste B, Davison, MI 48423-1966 | 2020-09-11 |
| 1578176038 | Intelicare Hospice Services IIi, LLC | Hospice Care, Community Based | 6060 Torrey Rd Ste J, Flint, MI 48507-5963 | 2020-08-25 |
| 1851909741 | Trillium House, Inc. | Hospice Care, Community Based | 1144 Northland Dr, Marquette, MI 49855-4408 | 2020-07-17 |
| 1568086056 | John Paul Home Hospice LLC | Hospice Care, Community Based | 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 | 2020-06-01 |
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1659906220 | Optimal Care, Inc. | Hospice Care, Community Based | 30600 Telegraph Rd Ste 3275, Bingham Farms, MI 48025-5718 | 2020-03-04 |
| 1881234862 | Hope Hospice LLC | Hospice Care, Community Based | 26645 W 12 Mile Rd Ste 211, Southfield, MI 48034-7812 | 2020-01-08 |
| 1124665088 | Hospice of Compassion, Inc | Hospice Care, Community Based | 23300 Greenfield Rd Ste 206, Oak Park, MI 48237-8409 | 2019-12-10 |
| 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.