REQUAN ELLIS (NPI# 1770977381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770977381 |
| Entity Type | Individual |
| Full Name | REQUAN ELLIS |
| Practice Address |
27046 James Ave Flat Rock MI 48134-1165 |
| Practice Telephone | 5868046186 |
| Mailing Telephone | 5868046186 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
27046 JAMES AVE |
| City | FLAT ROCK |
| State | MI |
| Zip Code | 48134-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698655 | Cory T Borawski | Chiropractor | 27108 Telegraph Road, Liedel Chiropractic Clinic, Flat Rock, MI 48134 | 2019-09-18 |
| 1205323383 | Hazel Alonte | Physical Therapist | 27049 Blue Heron Dr, Flat Rock, MI 48134 | 2018-04-15 |
| 1851756936 | Andrea Steffen | Occupational Therapist | 30134 Willow Springs Rd, Flat Rock, MI 48134 | 2015-12-16 |
| 1972868222 | Effie O'neal-brown | Licensed Practical Nurse | 23579 Karldr., Brownstown, MI 48134 | 2012-07-11 |
| 1578891735 | Flat Rock Cardiology PC | Clinic/Center | 29100 Gateway Boulevard, Suite 300, Flat Rock, MI 48134 | 2009-11-30 |
| 1053552372 | Cara Hope Phillips | Chiropractor | 29100 Gateways Blvd., Suite 100, Flat Rock, MI 48134 | 2009-03-17 |
| 1720141930 | John H Florek | Chiropractor | 24640 Telegraph, Flat Rock, MI 48134 | 2006-12-18 |
| 1578647723 | Melissa Christine Taylor | Physical Therapist | 29100 Gateway Blvd., Suite 400, Flat Rock, MI 48134 | 2006-10-24 |
| 1376641944 | Betty A Burkhart | Dentist | 25110 Telegraph Rd, Brownstown, MI 48134 | 2006-09-20 |
| 1427423383 | Colleen Marie Bryant | Nurse Practitioner | 14600 King Rd, Riverview, MI 48134 | 2015-12-03 |
| Find all providers in zip 48134 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021028 | Jaharie Green | Technician | 235 Arbor Glen Dr, East Lansing, MI 48823-8459 | 2020-10-21 |
| 1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
| 1346857067 | Nicholas Luke Roman | Technician | 10452 Lodge Dr, Allendale, MI 49401-9395 | 2020-09-27 |
| 1346856242 | Marissa Jean Brandly | Technician | 768 W Castlebury Cir, Saline, MI 48176-1348 | 2020-09-17 |
| 1962016030 | Stephanie Pertchi | Technician | 10745 48th Ave Unit Q3, Allendale, MI 49401-8127 | 2020-09-04 |
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1477166924 | Whispering Pines 2 | Technician | 1878 Soules Rd, Afton, MI 49705-9717 | 2020-08-25 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1285242420 | Anna Therese Pignone | Technician | 918 E Grand River Ave Apt 718, East Lansing, MI 48823-4597 | 2020-07-14 |
| 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.