MRS. HAZEL ROJO FAELLACI (NPI# 1881169167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881169167 |
| Entity Type | Individual |
| Full Name | MRS. HAZEL ROJO FAELLACI |
| Credential | LPN |
| Practice Address |
5711 Jackson Ave Lake MI 48632-8932 |
| Practice Telephone | 9066302789 |
| Mailing Telephone | 9066302789 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703099266 | MI | Nursing Service Providers |
| Street Address |
5711 JACKSON AVE |
| City | LAKE |
| State | MI |
| Zip Code | 48632-8932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508400771 | Margaret M Dandron | Custodial Care Facility | 5740 Twin Lake Ave, Lake, MI 48632 | 2019-10-31 |
| 1497174452 | It's You Babe, LLC | Prosthetic/Orthotic Supplier | 8572 Ludington Dr, Lake, MI 48632-8717 | 2014-04-07 |
| 1881085025 | April Miller | Chore Provider | 2752 Lindhaven Dr, Lake, MI 48632-8993 | 2015-02-10 |
| 1982964144 | M.o.m | Nursing Care | 9276 Monroe Rd, Lake, MI 48632-9108 | 2012-05-22 |
| 1831466465 | Degeer Inc | Clinic/Center | 7886 Mckinley Ave, Lake, MI 48632-9207 | 2011-11-28 |
| 1013289438 | Larry's Full Service Salon | Respite Care | 10658 Alpine Dr, Lake, MI 48632-9722 | 2012-01-31 |
| 1568522910 | F John Wagner | Clinic/Center | 7791 Mystic Lake Dr, Lake, MI 48632-9743 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159455 | Tiffany Lambert | Pharmacy Technician | 3005 Main Hewett Creek Rd, Lake, WV 25121-7129 | 2019-11-21 |
| 1508400771 | Margaret M Dandron | Custodial Care Facility | 5740 Twin Lake Ave, Lake, MI 48632 | 2019-10-31 |
| 1295254431 | My Family Service, L.L.C. | Local Education Agency (LEA) | 102 Spring Beauty Lane, Lake, WV 25121 | 2017-09-19 |
| 1881085025 | April Miller | Chore Provider | 2752 Lindhaven Dr, Lake, MI 48632-8993 | 2015-02-10 |
| 1497174452 | It's You Babe, LLC | Prosthetic/Orthotic Supplier | 8572 Ludington Dr, Lake, MI 48632-8717 | 2014-04-07 |
| 1982964144 | M.o.m | Nursing Care | 9276 Monroe Rd, Lake, MI 48632-9108 | 2012-05-22 |
| 1013289438 | Larry's Full Service Salon | Respite Care | 10658 Alpine Dr, Lake, MI 48632-9722 | 2012-01-31 |
| 1962772376 | Leah Dawn Miller | Case Manager/Care Coordinator | 95 Craddock Frk, Lake, WV 25121-9601 | 2012-01-03 |
| 1831466465 | Degeer Inc | Clinic/Center | 7886 Mckinley Ave, Lake, MI 48632-9207 | 2011-11-28 |
| 1568522910 | F John Wagner | Clinic/Center | 7791 Mystic Lake Dr, Lake, MI 48632-9743 | 2006-12-08 |
| Find all providers in LAKE | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 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.