IRVINE NEURO REHABILITATION (NPI# 1972904209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972904209 |
| Entity Type | Organization |
| Organization Name | IRVINE NEURO REHABILITATION |
| Practice Address |
25700 Lahser Rd Southfield MI 48033 |
| Mailing Address |
30066 Pondsview Dr Franklin MI 48025-1524 |
| Practice Telephone | 2484152500 |
| Practice Fax Number | 2484152510 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | MRS. ARTESIA MCNEAL- WASHINGTON (ADMINISTRATIOR) |
| Authorized Official Telephone | 2484152500 |
| Is Organization Subpart | Y |
| Parent Organization Name | IRVINE HEAD INJURY HOME, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
25700 LAHSER RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023134400 | Irvine Head Injury,inc | Residential Treatment Facility, Physical Disabilities | 25700 Lahser Rd, Southfield, MI 48034-5809 | 2007-03-21 |
| 1487270534 | Melissa Sara Kwiatkowski | Occupational Therapy Assistant | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2020-06-24 |
| 1285296079 | Sarah Long | Speech-Language Pathologist | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2019-07-02 |
| 1205330073 | Julianne G Spicer | Speech-Language Pathologist | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2018-03-19 |
| 1265969240 | Rashawnda Marie Sanders | Massage Therapist | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2017-05-22 |
| 1962953992 | Ciara Powell | Occupational Therapy Assistant | 25700 Lahser Rd, Irvine Neuro Rehabilitation Center, Southfield, MI 48033-2625 | 2016-10-14 |
| 1407301146 | Nadine Somakpo | Physical Therapy Assistant | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2016-08-23 |
| 1659824035 | Christina Betz | Physical Therapy Assistant | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2016-08-02 |
| 1588117139 | Cynthia Bantom | Occupational Therapist | 25700 Lahser Rd, Southfield, MI 48033-5809 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1720236276 | Theramatrix, Inc | Clinic/Center | 24611 Greenfield Road, Southfield, MI 48075-3058 | 2008-09-08 |
| 1295744472 | Sacred Hope Center, Inc | Clinic/Center | 17333 W 10 Mile Rd, Southfield, MI 48075-2901 | 2006-08-05 |
| 1548627847 | Live Well Health LLC | Clinic/Center | 15565 Northland Dr, Suite 103w-b, Southfield, MI 48075 | 2016-01-19 |
| 1063857100 | Orthopedic Medical Recreation | Clinic/Center | 15600 W 12 Mile Rd, Southfield, MI 48076-3068 | 2013-05-02 |
| 1376814699 | Visiting Physicians, PC | Clinic/Center | 17260 W 10 Mile Rd, Southfield, MI 48075-2949 | 2012-01-18 |
| 1013240662 | American Current Care of Michigan, P.C. | Clinic/Center | 26185 Greenfield Rd, Southfield, MI 48076-4709 | 2009-09-15 |
| 1093943615 | Providence Hospital | Clinic/Center | 22250 Providence Dr, Suite 500, Southfield, MI 48075-4825 | 2009-06-23 |
| 1427284447 | Obo Incorporated | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1306072327 | Lopez & Associates Inc | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1962651737 | Pjr & Associated Inc | Clinic/Center | 15700 W 10 Mile Rd, 213, Southfield, MI 48075-2149 | 2008-09-16 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on IRVINE NEURO REHABILITATION.
| 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.