CENTRIA HEALTHCARE (NPI# 1942623871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942623871 |
| Entity Type | Organization |
| Organization Name | CENTRIA HEALTHCARE |
| Practice Address |
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5326 |
| Practice Telephone | 2482990030 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | CHRIS WILCOX (OWNER) |
| Authorized Official Telephone | 2482990030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4704149813 | MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437603578 | Centria Healthcare | Case Management | 2848 Clement St, Flint, MI 48504-3028 | 2016-08-06 |
| 1306399464 | Centria Healthcare | Case Management | 11310 Balfour Rd, Detroit, MI 48224-1111 | 2016-07-25 |
| 1881046217 | Centria Healthcare | Community/Behavioral Health | 3813 Clotell Dr, Fort Worth, TX 76119-7742 | 2016-07-09 |
| 1144672650 | Centria Healthcare | Technician, Other | 17591 Santa Rosa Dr, Detroit, MI 48221-2644 | 2016-07-08 |
| 1699127621 | Centria Healthcare | Community/Behavioral Health | 11051 Sandy Oak Trl, Cedar Springs, MI 49319-9238 | 2016-07-01 |
| 1518313246 | Centria Healthcare | Technician, Other | 1477 Burke Ave Ne Apt B, Grand Rapids, MI 49505-5366 | 2016-05-12 |
| 1669864484 | Centria Healthcare | Case Management | 17361 Prest St, Detroit, MI 48235-3731 | 2015-03-03 |
| 1649677873 | Centria Healthcare | Clinic/Center | 7893 Harding St, Taylor, MI 48180-2535 | 2014-12-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRIA HEALTHCARE LLC | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 |
| Virginia Business Entities | Centria Healthcare LLC | 27777 Inkster Road, Suite 100, Farmington Hills, Michigan 48334 |
| Colorado Business Entities | Centria Healthcare LLC | 27777 Inkster Rd., Ste. 100, Farmington Hills, MI 48334 |
| Washington State Corporations | CENTRIA HEALTHCARE LLC | 4816 Aurora Ave N, Seattle, WA 98103 |
| Oregon Corporations, Companies and Business Names | CENTRIA HEALTHCARE LLC | 27777 Inkster, Suite 100, Farmington Hills, MI 48334 |
| Indiana Business Entities | CENTRIA HEALTHCARE LLC | 41521 W 11 Mile Rd, Novi, MI 48375 |
| Street Address |
27777 INKSTER RD STE 100 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558568758 | Beverly Lax-floyd | Technician, Other | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 | 2007-06-29 |
| 1881295699 | Charles Malik Key | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1790386621 | Jada Moraca | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1023619889 | Christopher Leroi | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1053912972 | Amanda Mccartney | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1437750205 | Daris D Kinney | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1073114914 | Andrea Guillen Villegas | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-06 |
| 1376144352 | Kathryn Marie Lee | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-05 |
| 1467053439 | Dawn Davidson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-05 |
| 1952902967 | Mylia Patwin | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689045577 | Befitting You,llc | Clinic/Center | 28300 Orchard Lake Rd, Suite 233, Farmington Hills, MI 48334-3704 | 2015-10-17 |
| 1821360363 | Mind Body and Soul Psychiatric Services | Clinic/Center | 25882 Orchard Lake Rd, Suite L-5a, Farmington Hills, MI 48336-1292 | 2012-01-30 |
| 1194985689 | Steven J. Fadoir, Ph.d. P.C. | Clinic/Center | 31330 Northwestern Hwy, Suite D, Farmington Hills, MI 48334-2560 | 2008-06-10 |
| 1083804702 | Brent Smith, Pllc | Clinic/Center | 22433 Middlebelt Rd, Farmington Hills, MI 48336-3743 | 2007-07-30 |
| 1013120641 | Tlc Laser Center of Detroit, LLC | Clinic/Center | 34405 W 12 Mile Rd, Ste. 154, Farmington Hills, MI 48331-3391 | 2007-05-08 |
| 1144366758 | Samina Ansar Ghazi Md PC | Clinic/Center | 33110 W 12 Mile Rd, Farmington Hills, MI 48334-3307 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on CENTRIA HEALTHCARE.
| 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.