MARY'S CHILDREN FAMILY CENTER (NPI# 1780898064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780898064 |
| Entity Type | Organization |
| Organization Name | MARY'S CHILDREN FAMILY CENTER |
| Practice Address |
495 E 14 Mile Rd Clawson MI 48017-2111 |
| Practice Telephone | 2483070242 |
| Mailing Telephone | 2483070242 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | MRS. LINDSEY WICHMANN (ADMINISTRATOR) |
| Authorized Official Telephone | 2483070242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | MI | Agencies | |
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
495 E 14 MILE RD |
| City | CLAWSON |
| State | MI |
| Zip Code | 48017-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947438 | Victor Hliebay | Nurse Practitioner | 1402 W 14 Mile Road, Clawson, MI 48017 | 2020-09-22 |
| 1174982102 | Kristina Reesman | Physical Therapist | 1409 Kenilworth Pl, Clawson, MI 48017 | 2016-02-18 |
| 1992183255 | Ali Shams | Emergency Medicine | 617 S Webik Ave, Clawson, MI 48017 | 2015-05-07 |
| 1821257197 | Wessam Yassa | Pharmacist | 610 E Elmwood Ave, Apt 102, Clawson, MI 48017 | 2008-06-03 |
| 1528259165 | Davinnci Dental Pllc | Dentist | 626 North Crooks, Clawson, MI 48017 | 2007-08-08 |
| 1780897892 | Sharon Kennedy Hosea | Dentist | 635 West 14 Mile Road, Clawson, MI 48017 | 2007-05-07 |
| 1700944063 | Steven J Rabaut | Physical Therapist | 901 W Maple Road, Clawson, MI 48017 | 2006-12-05 |
| 1457313611 | Craig S Wernette Dds PC | Dentist | 17 South Main St, Clawson, MI 48017 | 2006-04-04 |
| 1912981234 | Barbara M Kuczynski | Ophthalmology | 330 E 14 Mile Rd, Ste B, Clawson, MI 48017 | 2005-11-30 |
| 1265807879 | Deanne Ginns Gruenberg | Counselor | 808 W 14 Mile Rd, Clawson, MI 48017 | 2015-12-08 |
| Find all providers in zip 48017 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139307 | Heart Matters | Day Training/Habilitation Specialist | 9037 Fielding St, Detroit, MI 48228-1670 | 2020-09-22 |
| 1275145344 | Brandy Wilson | Day Training/Habilitation Specialist | 37301 Radde St, Clinton Township, MI 48036-2932 | 2020-08-20 |
| 1578108643 | Lakestate Industries | Day Training/Habilitation Specialist | 1830 N 21st St, Escanaba, MI 49829-9586 | 2019-11-13 |
| 1679088074 | Tortia Tuo | Day Training/Habilitation Specialist | 5035 Marwood Ct Se, Kentwood, MI 49508-4852 | 2017-12-06 |
| 1710405048 | Shannika Gilbert | Day Training/Habilitation Specialist | 12075 Sorrento St, Detroit, MI 48227-3751 | 2017-09-07 |
| 1336570472 | Charles Garofali | Day Training/Habilitation Specialist | 6892 W Maple Rd, West Bloomfield, MI 48322-3032 | 2013-11-27 |
| 1902036288 | Maria A. Germain-bush | Day Training/Habilitation Specialist | 3474 Snowfarm Ln, Allegan, MI 49010-9188 | 2009-07-21 |
| 1952587487 | Autumn Lynn Westbrook | Day Training/Habilitation Specialist | 4166 Ravenswood Rd, Port Huron, MI 48060-7817 | 2008-01-15 |
| 1154507879 | Theresa Laura Swinson | Day Training/Habilitation Specialist | 4745 Fish Rd, Kimball, MI 48074-1506 | 2008-01-11 |
| 1083890818 | Andrea Lynn Rodriguez | Day Training/Habilitation Specialist | 375 Henry St, Smiths Creek, MI 48074-4005 | 2008-01-10 |
| 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.