PREMIER MEDICAL MASSAGE (NPI# 1093074668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093074668 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL MASSAGE |
| Practice Address |
21777 Poinciana St Southfield MI 48033-5049 |
| Mailing Address |
Po Box 250005 Franklin MI 48025-0005 |
| Practice Telephone | 2486360681 |
| Mailing Telephone | 2486360681 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | CHERYL LYNNE KOEHLER (MASSAGE THERAPIST) |
| Authorized Official Telephone | 2486360681 |
| Authorized Official Credential | CMT, NCMTB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
21777 POINCIANA ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-5049 |
| 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 | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661228 | Latyra S Murray | Community Health Worker | 24100 Southfield Rd Ste 102, Southfield, MI 48075-2850 | 2019-10-21 |
| 1760979959 | My Place Afc | Community Health Worker | 21415 Sherman Ave, Southfield, MI 48033-4388 | 2018-04-13 |
| 1922511971 | Phoenix Rizing Inc. | Community Health Worker | 15565 Northland Dr E Ste 901, Southfield, MI 48075-5331 | 2017-11-13 |
| 1750815387 | Qiana Jackson | Community Health Worker | 15565 Northland Dr Suite 604west, Southfield, MI 48075 | 2017-04-20 |
| 1053643452 | Natausha M Carden | Community Health Worker | 27155 Fairfax St, Southfield, MI 48076-5132 | 2010-02-10 |
| 1548884356 | Priscilla Turner | Community Health Worker | 23800 W 10 Mile Rd, Southfield, MI 48033-3176 | 2020-06-08 |
| 1821537267 | Aleve Therapy Center | Community Health Worker | 26400 Lahser Rd, Suite 345, Southfield, MI 48033-2624 | 2017-02-17 |
| 1154628204 | At Home Physicians, PC | Community Health Worker | 23155 Northwestern Hwy, Suite 401, Southfield, MI 48075-7703 | 2011-02-24 |
| 1912130592 | Healthy Innovations | Community Health Worker | 17250 W 12 Mile Rd, Suite 117, Southfield, MI 48076-2127 | 2009-08-28 |
| 1831342914 | Home Visiting Doctors, Pllc | Community Health Worker | 23100 Providence Dr, Ste # 152, Southfield, MI 48075-3646 | 2008-11-03 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.