MICHELE BALDORI (NPI# 1831682947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831682947 |
Entity Type | Individual |
Full Name | MICHELE BALDORI |
Credential | CPRC |
Practice Address |
50430 School House Rd Canton MI 48187-5910 |
Practice Telephone | 7344951722 |
Mailing Telephone | 7344951722 |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
N346196 | MI | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 213119549 | 05 |
Street Address |
50430 SCHOOL HOUSE RD |
City | CANTON |
State | MI |
Zip Code | 48187-5910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952432841 | Family Service of Detroit & Wayne County | Counselor | 50430 School House Rd, Suite 104, Canton, MI 48187-5910 | 2007-03-09 |
1457968612 | Reanna Bell | Counselor | 50430 School House Rd, Canton, MI 48187-5910 | 2020-09-30 |
1033724943 | Nathaniel Edison Ponder | Counselor | 50430 School House Rd, Canton, MI 48187-5910 | 2020-09-09 |
1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
1023652831 | William Carroll | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-05 |
1164066221 | Sarah Spencer | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
1528602653 | Connor Lehn | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
1881238921 | Sarah Wiegand | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
1841834983 | Kevin Kiesel | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
1861036030 | Tarah Paulsen | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
Find all providers in zip 48187 |
Taxonomy Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326690611 | North Country Freedom Homes, Inc. | Substance Abuse Rehabilitation Facility | 25 Dies St, Canton, NY 13617-1306 | 2019-07-16 |
1124241682 | Eugene R Regier | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972156701 | Flint Odyssey House Inc. | Substance Abuse Rehabilitation Facility | 932 Beach St, Flint, MI 48502-1502 | 2019-07-21 |
1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
1881921401 | Todd-phillips Children's Home | Substance Abuse Rehabilitation Facility | 8141 E Outer Dr, Detroit, MI 48213-1323 | 2009-11-04 |
1851544688 | Lois Ann Brown-nelson | Substance Abuse Rehabilitation Facility | 14460 Mayfield St, Detroit, MI 48205-4131 | 2008-10-24 |
1891978441 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2007-12-06 |
1588706915 | Starr Commonwealth | Substance Abuse Rehabilitation Facility | 13725 Starr Commonwealth, Albion, MI 49224-9580 | 2007-02-13 |
1891851226 | P.e.a.c.e. In Young Life Center, Inc. | Substance Abuse Rehabilitation Facility | 15471 Cloverlawn St, Ste 101, Detroit, MI 48238-1146 | 2006-12-29 |
1982128393 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Oak St, Flint, MI 48503-2614 | 2017-07-27 |
1437536802 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-05-05 |
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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.