PADA (NPI# 1770918641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770918641 |
| Entity Type | Organization |
| Organization Name | PADA |
| Practice Address |
17500 Northland Park Ct Southfield MI 48075-4324 |
| Mailing Address |
25170 Thorndyke St Southfield MI 48033-2941 |
| Practice Telephone | 2486783934 |
| Mailing Telephone | 2486783934 |
| Mailing Fax Number | 2486783934 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | MRS. PATRICE TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 3135505030 |
| Authorized Official Credential | LBSW, MA, LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 251E00000X | Home Health | MI | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PADA | 159 W Garland St, Jefferson, WI 53549-2028 |
| Colorado Business Entities | Pada Dreams, LLC | 6044 Clearwater Dr., Loveland, CO 80538 |
| Colorado Business Entities | PADA Fitness LLC | 9035 Wadsworth Suite 2750, Westminster, CO 80021 |
| New York State Corporations | PADA FOOD CORP. | 386 Fulton Ave, Hempstead, Ny 11550 |
| Washington State Corporations | PADA LLC | 320 W 3rd St, Cle Elum, WA 98922-1026 |
| Iowa Business Entities | PADA LLC | 3006 210th St, Sumner, IA 50674 |
| Indiana Business Entities | PADA LLC | 7126 Rose Ann Parkway, Fort Wayne, IN 46804 |
| Oregon Corporations, Companies and Business Names | PADA PATH, LLC | 4215 Se Bybee Blvd, Portland, OR 97206 |
| Oregon Corporations, Companies and Business Names | PADA PORTLAND ART ADVERTISING | 2456 Nw Raleigh St, Portland, OR 97210 |
| Oregon Corporations, Companies and Business Names | PADA PORTLAND ART PUBLICATION | 2456 Nw Raleigh St, Portland, OR 97210 |
| Street Address |
17500 NORTHLAND PARK CT |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144488024 | Constance C Gwynn | Social Worker | 17500 Northland Park Ct, Southfield, MI 48075-4324 | 2008-05-28 |
| 1982085015 | Pennie Ohia | Private Vehicle | 17500 Northland Park Ct, Southfield, MI 48075-4324 | 2015-06-15 |
| 1336539014 | Pennie Ohia | Driver | 17500 Northland Park Ct, Southfield, MI 48075-4324 | 2015-02-02 |
| 1679721120 | Friends of Vision Interpersonal Services | Exclusive Provider Organization | 17500 Northland Park Ct, Southfield, MI 48075-4324 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424316 | Acute Residential Care LLC | Home Health | 17800 Northland Park Ct Ste 103, Southfield, MI 48075-4304 | 2020-10-12 |
| 1396355533 | Front Line Home Health Care Inc | Home Health | 26645 W 12 Mile Rd Ste 210, Southfield, MI 48034-7812 | 2020-08-03 |
| 1669080669 | Anjela's Helping Hands | Home Health | 22145 Maplewood Dr, Southfield, MI 48033-5945 | 2020-07-16 |
| 1619599768 | Evangelical Home Care,llc | Home Health | 23800 W 10 Mile Rd Ste 108, Southfield, MI 48033-3194 | 2020-05-12 |
| 1306467493 | A-four Inc | Home Health | 25800 W 11 Mile Rd, Southfield, MI 48034-6196 | 2020-04-30 |
| 1063048445 | Eden At Home LLC | Home Health | 29185 Tiffany Dr W, Southfield, MI 48034-4545 | 2020-03-18 |
| 1689208605 | Geppetto's Heart | Home Health | 24555 Southfield Rd Ste 100, Southfield, MI 48075-2788 | 2020-02-28 |
| 1144866500 | Tbiy LLC | Home Health | 25172 Maplebrooke Dr, Southfield, MI 48033-5282 | 2019-11-20 |
| 1689227803 | Omega Home Healthcare Services | Home Health | 24901 Northwestern Hwy Ste 314c, Southfield, MI 48075-2207 | 2019-07-17 |
| 1114588308 | Vital Home Health LLC | Home Health | 24001 Southfield Rd Ste 203c, Southfield, MI 48075-2847 | 2019-06-27 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on PADA.
| 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.