MRS. IHEKEREMA FULTON-GOREE (NPI# 1851417257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851417257 |
| Entity Type | Individual |
| Full Name | MRS. IHEKEREMA FULTON-GOREE |
| Credential | CAC1 |
| Practice Address |
21700 Greenfield Rd Suite 130 Oak Park MI 48237-2581 |
| Mailing Address |
870 Seward St Apt #107 Detroit MI 48202-2349 |
| Practice Telephone | 2489674310 |
| Practice Fax Number | 2489674301 |
| Mailing Telephone | 2489674310 |
| Mailing Fax Number | 2489674301 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
21700 GREENFIELD RD SUITE 130 |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538126024 | Vital Home Health Care, Inc. | Home Health | 21700 Greenfield Rd, Suite 206, Oak Park, MI 48237-2581 | 2006-04-27 |
| 1457918948 | Greater Care Health Clinic | Pain Medicine | 21700 Greenfield Rd, Oak Park, MI 48237-2581 | 2019-05-21 |
| 1932632627 | Johnson & Johnson P.t. L.l.c | Preferred Provider Organization | 21700 Greenfield Rd, Suite 215, Oak Park, MI 48237-2581 | 2017-04-10 |
| 1417488909 | Johnson Dialysis Management, LLC | Physical Medicine & Rehabilitation | 21700 Greenfield Rd, Ste 215, Oak Park, MI 48237-2581 | 2017-03-25 |
| 1932555679 | Greenfield Physical Therapy Pllc | Clinic/Center | 21700 Greenfield Rd, Suite 380, Oak Park, MI 48237-2581 | 2016-05-12 |
| 1891046470 | Henderson Home Health Care LLC | Home Health | 21700 Greenfield Rd, Suite Ll 20, Oak Park, MI 48237-2581 | 2012-09-24 |
| 1558629071 | Zigmond PC | Chiropractor | 21700 Greenfield Rd, Suite 217, Oak Park, MI 48237-2581 | 2012-05-03 |
| 1982979944 | Cyril T Nwaguru | Counselor | 21700 Greenfield Rd, Ste 210, Oak Park, MI 48237-2581 | 2012-03-09 |
| 1235404203 | Gilead Wellness Network Inc. | Community/Behavioral Health | 21700 Greenfield Rd, Ste 210, Oak Park, MI 48237-2581 | 2012-03-09 |
| 1598063232 | Family Touch Physical Therapy LLC | Physical Therapist | 21700 Greenfield Rd, 255, Oak Park, MI 48237-2581 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778865 | Michael Blake Stuart | Counselor | 510 Savona Way, Oak Park, CA 91377-4841 | 2020-07-22 |
| 1164030136 | Amina Mcclendon | Counselor | 22190 Avon Rd, Oak Park, MI 48237-2572 | 2020-07-16 |
| 1992241087 | Tiffany Mcfarland | Counselor | 141 Wesley Ave, Oak Park, IL 60302-2907 | 2017-01-12 |
| 1205259686 | Ewa Susman | Counselor | 1022 Forest Ave, Oak Park, IL 60302-1312 | 2014-01-21 |
| 1245503655 | Steven Max Haught | Counselor | 1145 S East Ave, #1, Oak Park, IL 60304-2105 | 2012-02-15 |
| 1285953505 | Keith Ross | Counselor | 21602 Stratford Ct, Oak Park, MI 48237-2509 | 2010-05-26 |
| 1982938833 | Marjorie Johnson | Counselor | 942 Ontario St, Oak Park, IL 60302-1913 | 2009-09-24 |
| 1073777082 | Susan Agruss | Counselor | 1100 Lake St Ste 201, Oak Park, IL 60301-1028 | 2008-07-18 |
| 1659548212 | Darryl Vincent Allen | Counselor | 13701 Oak Park Blvd, Oak Park, MI 48237-2080 | 2008-05-13 |
| 1134319643 | Goso Consulting, Inc. | Counselor | 1111 Westgate Suite 116, Oak Park, IL 60301 | 2007-07-31 |
| Find all providers in OAK PARK | ||||
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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.