SAMARITAS (NPI# 1972860005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972860005 |
Entity Type | Organization |
Organization Name | SAMARITAS |
Practice Address |
128 S Cochran Ave Charlotte MI 48813-1510 |
Mailing Address |
8131 E Jefferson Ave Detroit MI 48214-2610 |
Practice Telephone | 5173259090 |
Practice Fax Number | 5173259091 |
Mailing Telephone | 2693455776 |
Mailing Fax Number | 2693454011 |
Enumeration Date | 2012-04-13 |
Last Update Date | 2020-07-15 |
Authorized Official Name | JENNY CEDERSTROM (CFO) |
Authorized Official Telephone | 3133082764 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 253J00000X | Foster Care Agency | CB390258392 | MI | Agencies |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Samaritas | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1803 Whites Rd, Suite 5, Kalamazoo, MI 490082883 | 2693455776 | 2693454011 |
2450 Van Ommen Dr, Holland, MI 494248085 | 6165169985 | |
524 Washington Ave, Grand Haven, MI 494171455 | 6165169985 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407487168 | Samaritas | Counselor | 313 Lansing St Ste 5, Charlotte, MI 48813-1675 | 2020-01-31 |
1487106944 | Samaritas | Assisted Living Facility | 4354 Mount Hope Rd, Williamsburg, MI 49690-9210 | 2016-11-01 |
1871998310 | Samaritas | Foster Care Agency | 3820 Packard St Ste 170, Ann Arbor, MI 48108-5000 | 2014-10-27 |
1629238878 | Samaritas | Assisted Living Facility | 1900 32nd St Se, Grand Rapids, MI 49508-7908 | 2008-06-11 |
1740376920 | Samaritas | Community/Behavioral Health | 8131 E Jefferson Ave, Detroit, MI 48214-2610 | 2006-10-05 |
1750374914 | Samaritas | Skilled Nursing Facility | 1950 32nd St Se, Grand Rapids, MI 49508-7909 | 2005-08-23 |
1588292601 | Samaritas | Psychologist | 923 S Beechtree St Ste 10, Grand Haven, MI 49417-2306 | 2020-04-01 |
1730337288 | Samaritas | Community/Behavioral Health | 8131 E Jefferson Ave, Detroit, MI 48214-2610 | 2008-09-08 |
1366633018 | Samaritas | Skilled Nursing Facility | 460 Pearl St, Cadillac, MI 49601-2620 | 2007-08-07 |
Street Address |
128 S COCHRAN AVE |
City | CHARLOTTE |
State | MI |
Zip Code | 48813-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649790643 | Ellyn Schwickrath | Social Worker | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2017-06-21 |
1255771713 | Holly Gene Wixon | Social Worker | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2013-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
1477052702 | Tayla Palacios | Occupational Therapy Assistant | 202 Warren St, Charlotte, MI 48813 | 2018-02-01 |
1043359417 | Frederic Wagner | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
1154493971 | Debbie Haymowattee Hallak | Internal Medicine | 616 Meijer St, Charlotte, MI 48813 | 2006-11-15 |
1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
1689694671 | Anthony E Marl | Internal Medicine | 123 Lansing St., Suite 3a, Charlotte, MI 48813 | 2006-07-20 |
1194754879 | Jeannine M Brake-norder | Optometrist | 123 Lansing Street, Charlotte, MI 48813 | 2006-07-03 |
1922537356 | Linda Gail Sherrill | Counselor | 114 E Lawrence Ave, Suite 130, Charlotte, MI 48813 | 2017-06-08 |
1801936000 | John D Curtis | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-07 |
1811036262 | Painless Dentistry LLC | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
Find all providers in zip 48813 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
Find all providers in CHARLOTTE |
Please comment or provide details below to improve the information on SAMARITAS.
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.