LATRESE TUCKER (NPI# 1033763347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033763347 |
| Entity Type | Individual |
| Full Name | LATRESE TUCKER |
| Practice Address |
9600 Wyoming Detroit MI 48204 |
| Mailing Address |
3835 Holcomb St Detroit MI 48214-1386 |
| Practice Telephone | 3139893411 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | T260488139143 | 05 |
| Street Address |
9600 WYOMING |
| City | DETROIT |
| State | MI |
| Zip Code | 48204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
| 1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
| 1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
| 1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
| 1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
| 1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
| 1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
| 1568974038 | Point A Organization | Registered Nurse | 12091 Cloverlawn St, Detroit, MI 48204-1012 | 2017-10-24 |
| Find all providers in zip 48204 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1154898146 | Israel Agodu | Contractor | 6474 Rosemont Ave, Detroit, MI 48228-4754 | 2018-10-27 |
| 1356894943 | Metecia Smith | Contractor | 11138 Findlay St, Detroit, MI 48205-4714 | 2016-07-29 |
| 1205286267 | Megan Boyle | Contractor | 17183 Griggs St, Detroit, MI 48221-2426 | 2016-06-20 |
| 1124486964 | Karen Porter | Contractor | 13994 Minock St, Detroit, MI 48223-2804 | 2016-02-08 |
| 1578936050 | Inglish Reed-jones | Contractor | 15 E Kirby St Ste B-7, Detroit, MI 48202-4047 | 2015-11-05 |
| 1811373269 | Venise Omeally | Contractor | 4757 Anthony Wayne Dr, Apt 2, Detroit, MI 48201-3750 | 2015-08-08 |
| 1124404553 | Wanda Marie Williams | Contractor | 4104 Woodhall St, Detroit, MI 48224-2221 | 2015-08-07 |
| 1316323942 | Vanessa Bryant | Contractor | 19691 Hasse St, Detroit, MI 48234-2155 | 2015-08-05 |
| 1104202274 | Archie Carney | Contractor | 2900 Brush St Apt 323, Detroit, MI 48201-2655 | 2015-07-30 |
| 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.