TWIN DOVES I LLC (NPI# 1083237051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083237051 |
| Entity Type | Organization |
| Organization Name | TWIN DOVES I LLC |
| Practice Address |
48617 36th Ave. Bangor MI 49013 |
| Practice Telephone | 6164039430 |
| Practice Fax Number | 2698525910 |
| Mailing Telephone | 6164039430 |
| Mailing Fax Number | 2698525910 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Authorized Official Name | RICKIE HERNANDEZ (OWNER) |
| Authorized Official Telephone | 6164039430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
48617 36TH AVE. |
| City | BANGOR |
| State | MI |
| Zip Code | 49013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| 1891185765 | Teresa Ansinn | Nurse Practitioner | 50 Industrial Park Rd, Bangor, MI 49013 | 2015-01-30 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063818367 | Quality Care Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 532 Hammond St, Bangor, ME 04401-4544 | 2014-11-13 |
| 1265644314 | Mert Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 Bomarc Rd., Bangor, ME 04401 | 2007-05-03 |
| 1558490706 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2475 Ackermanville Rd, Bangor, PA 18013-9364 | 2007-03-05 |
| 1073651691 | Marsha A. Moore | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Somerset St, Bangor, ME 04401-5326 | 2007-02-03 |
| 1457498867 | U-can Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 Hammond St, Bangor, ME 04401-4647 | 2007-02-01 |
| 1902961782 | Kathleen Hope Rioux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Olive Hts, Bangor, ME 04401-6815 | 2006-12-22 |
| 1962563825 | The Getchell Agency, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 785 Mount Hope Ave, Bangor, ME 04401-5621 | 2006-12-13 |
| 1427121243 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-17 |
| 1063614691 | Ucp of Northeastern Maine | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1659448504 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| Find all providers in BANGOR | ||||
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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.