DETROIT HEALING HANDS PHYSICAL THERAPY CENTER, LLC (NPI# 1881193514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881193514 |
| Entity Type | Organization |
| Organization Name | DETROIT HEALING HANDS PHYSICAL THERAPY CENTER, LLC |
| Practice Address |
19522 W Mcnichols Rd Ste E Detroit MI 48219-4090 |
| Mailing Address |
1866 Dorchester Dr N Apt 204 Troy MI 48084-8317 |
| Practice Telephone | 3137271330 |
| Mailing Telephone | 3135206714 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | TIMOTHY JACKOSN (OWNER) |
| Authorized Official Telephone | 3135206714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| Street Address |
19522 W MCNICHOLS RD STE E |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034710 | Personalize Advance Therapy Services | Clinic/Center | 4777 E Outer Dr Fl Ge, Detroit, MI 48234-3241 | 2020-02-10 |
| 1174162812 | District Physical Therapy LLC | Clinic/Center | 5157 Stanton St, Detroit, MI 48208-2063 | 2019-12-28 |
| 1538674841 | Axxess Physical Therapy and Rehab Lp | Clinic/Center | 19915 James Couzens Fwy, Detroit, MI 48235-1840 | 2017-12-08 |
| 1841723806 | Sunshine Physical Therapy, LLC | Clinic/Center | 11220 E Jefferson Ave, Detroit, MI 48214-3320 | 2017-04-06 |
| 1598219180 | Professional Care Rehab LLC | Clinic/Center | 17707 Fenkell St, Detroit, MI 48227-1513 | 2016-08-11 |
| 1720439912 | Amex Rehabilitation Inc | Clinic/Center | 16143 W Warren Ave, Detroit, MI 48228-3762 | 2016-06-29 |
| 1558722629 | Courageous Inc | Clinic/Center | 12925 Auburn St, Detroit, MI 48223-3400 | 2016-03-16 |
| 1285975227 | Okezie Wachuku | Clinic/Center | 8904 Woodward Ave # 104, Detroit, MI 48202-1821 | 2013-03-14 |
| 1497008387 | Kathelene's Mobility Rehab Services, P.C. | Clinic/Center | 14219 W. Mc Nichols, Suite B, Detroit, MI 48235 | 2012-10-17 |
| 1497020978 | Success Therapy Services | Clinic/Center | 20055 Southfield Fwy, Detroit, MI 48235-2278 | 2012-03-15 |
| Find all providers in DETROIT | ||||
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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.