MCCAIN, LLC (NPI# 1750672606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750672606 |
| Entity Type | Organization |
| Organization Name | MCCAIN, LLC |
| Practice Address |
2141 E Jefferson Ave Suite Ll 1 Detroit MI 48207-4128 |
| Mailing Address |
Po Box 441381 Detroit MI 48244-1381 |
| Practice Telephone | 3139521963 |
| Practice Fax Number | 3133319566 |
| Mailing Telephone | 3139521963 |
| Mailing Fax Number | 3133319566 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | DR. ANNETTE MCCAIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 3139521963 |
| Authorized Official Credential | PHD,LPC,LLP,DOT- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6301008988 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679863856 | Mccain, LLC | Counselor | 2141 E Jefferson Ave Ste Ll1, Detroit, MI 48207-4128 | 2011-04-09 |
| Street Address |
2141 E JEFFERSON AVE SUITE LL 1 |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446050 | Vinod Goyal | Internal Medicine | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2006-02-14 |
| 1790098069 | Sierra Medical Associates | Clinic/Center | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2010-07-15 |
| 1407178627 | Jefferson Medical Industrial Clinic PC | Internal Medicine | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2010-02-16 |
| 1225363203 | Divine Medical Care | Clinic/Center | 2141 E Jefferson Ave, Suite 2, Detroit, MI 48207-4128 | 2009-10-09 |
| 1659408995 | Blain Pharmacy LLC | Pharmacy | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2007-02-27 |
| 1831141225 | Kidneys and Medical Care PC | Internal Medicine | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2006-05-16 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689172553 | Senora King | Specialist | 7824 Artesian St, Detroit, MI 48228-3376 | 2018-01-25 |
| 1134526437 | Pierre E Vinson | Specialist | 200 Mount Elliott St Ste 111, Detroit, MI 48207-4466 | 2014-12-02 |
| 1316348865 | Lamika Riley | Specialist | 18320 W Mcnichols Rd, Detroit, MI 48219-4162 | 2014-09-15 |
| 1659622017 | Extraordinary Medical Billing&consultant Services | Specialist | 19964 Rogge St, Detroit, MI 48234-3031 | 2012-09-26 |
| 1144588450 | Jessica Jensine Noles | Specialist | 14211 Northlawn St, Detroit, MI 48238-2434 | 2012-04-25 |
| 1770803496 | Cassandra Boggon | Specialist | 16203 Wyoming St, Detroit, MI 48221-3417 | 2010-06-03 |
| 1104089499 | Muwaffak Mohammad Abdulhak | Specialist | 2799 West Grand Blvd. K-11, Henry Ford Hospital, Detroit, MI 48202 | 2008-07-07 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1962674028 | House-call Service, Inc. | Specialist | 19455 Kentfield St, Detroit, MI 48219-2013 | 2008-03-29 |
| 1558530030 | Samir R. Yahia Md,p.c | Specialist | 22151 Moross Rd Bldg 1, Suite 335, Detroit, MI 48236-2167 | 2008-02-28 |
| 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.