SAMUEL COOK (NPI# 1043360563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043360563 |
Entity Type | Individual |
Full Name | SAMUEL COOK |
Other Name | SAM COOK |
Practice Address |
9605 Grand River Ave. Detroit MI 48204-2139 |
Mailing Address |
9605 Grand River Ave Detroit MI 48204-2139 |
Practice Telephone | 3138345930 |
Mailing Telephone | 3138345930 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2016-05-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649817222 | Samuel A. Cook | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2019-12-03 |
1255990297 | Samuel Cook | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003-1651 | 2019-06-12 |
1881156214 | Samuel David Cook | Student in an Organized Health Care Education/Training Program | 27005 76th Ave Bldg C, New Hyde Park, NY 11040-1402 | 2019-04-04 |
1144782079 | Samuel George Cook | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 2, Dayton, OH 45409-2902 | 2019-04-01 |
1932637956 | Samuel Cook | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2017-06-03 |
1033307939 | Samuel William Cook IIi | Physician Assistant | 2410 Susannah Street, Johnson City, TN 37601-1748 | 2007-10-05 |
Street Address |
9605 GRAND RIVER AVE. |
City | DETROIT |
State | MI |
Zip Code | 48204-2139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
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 |
Find all providers in zip 48204 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1083243596 | Kelley Grice | Case Manager/Care Coordinator | 4620 Haverhill St, Detroit, MI 48224-3520 | 2020-04-06 |
1316573652 | Stacey Hayes | Case Manager/Care Coordinator | 18283 Freeland St, Detroit, MI 48235-2537 | 2020-03-18 |
1255978045 | Barbara Richelle Williams | Case Manager/Care Coordinator | 1800 Brainard St Apt 104, Detroit, MI 48208-2863 | 2019-11-29 |
1609427376 | Alexis Williams | Case Manager/Care Coordinator | 8828 Moffat St, Detroit, MI 48213-2909 | 2019-09-24 |
1376107136 | Brittany Wright-ahmad | Case Manager/Care Coordinator | 888 Pallister St Apt 103, Detroit, MI 48202-2670 | 2019-04-26 |
1336609320 | Emily Dozier | Case Manager/Care Coordinator | 65 Cadillac Sq Fl 30, Detroit, MI 48226-2844 | 2019-03-25 |
1063913457 | Candiss Letice Chambers | Case Manager/Care Coordinator | 2712 Gratiot Ave, Detroit, MI 48207-2493 | 2018-02-22 |
1356859375 | Natasha Walker | Case Manager/Care Coordinator | 4929 Spokane St, Detroit, MI 48204-5021 | 2018-01-11 |
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.