CHOICES WITH SELF DETERMINATION LLC (NPI# 1093274706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093274706 |
| Entity Type | Organization |
| Organization Name | CHOICES WITH SELF DETERMINATION LLC |
| Practice Address |
3400 E Territorial Rd Camden MI 49232-9035 |
| Practice Telephone | 5172540017 |
| Practice Fax Number | 5172544458 |
| Mailing Telephone | 5172540017 |
| Mailing Fax Number | 5172544458 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | TINA LYNN JENKINS (OWNER) |
| Authorized Official Telephone | 5172540017 |
| Authorized Official Credential | RSST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3400 E TERRITORIAL RD |
| City | CAMDEN |
| State | MI |
| Zip Code | 49232-9035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326368119 | Tina Lynn Jenkins | Case Manager/Care Coordinator | 3400 E Territorial Rd, Camden, MI 49232-9035 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649215633 | David R Dickey | Dentist | 120 1/2 Main St, Camden, MI 49232 | 2006-06-17 |
| 1518381623 | Emily Michelle Morrison | Counselor | 13714 E Diane Dr, Camden, MI 49232-9523 | 2014-02-10 |
| 1942746771 | Zachary Malone | Specialist/Technologist | 15700 S Edon Rd, Camden, MI 49232-9588 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235077 | William Michael Skelton | Psychologist | 1 Cooper Plz # D222, Camden, NJ 08103-1461 | 2020-11-06 |
| 1093316549 | Refocus Eye Health of Nj, P.C. | Optometrist | 3 Cooper Plz Rm 510, Camden, NJ 08103-1438 | 2020-11-02 |
| 1275130536 | Marci Naftzinger | Social Worker | 31 Birkdale Way, Camden, DE 19934-1929 | 2020-10-08 |
| 1922605351 | Arikka Madison Smith | Technician | 1269 Alum Fork Rd, Camden, WV 26338-8110 | 2020-10-08 |
| 1306443031 | Shanna Nicole Lewis | Home Health Aide | 214 Doby St, Camden, SC 29020-2312 | 2020-10-06 |
| 1861099004 | Tammi Ardecki | Psychologist | 227 Wynsome Blvd, Camden, DE 19934-5331 | 2020-10-01 |
| 1649887167 | Alexis Collins | Registered Nurse | 1 Federal St # 200, Camden, NJ 08103-1088 | 2020-09-29 |
| 1265046544 | Laura Marie Browning | Social Worker | 208 King St, Camden, SC 29020-4720 | 2020-09-03 |
| 1922611979 | Brain Training Institute Inc. | Clinic/Center | 9788 Westville Rd, Camden, DE 19934-2305 | 2020-08-28 |
| 1932712064 | Lavana J. Kindle | Counselor | Victory Church 1283 Us-278 W, Camden, AR 71701-4551 | 2020-08-28 |
| Find all providers in CAMDEN | ||||
| 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 |
|---|---|---|---|---|
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1275950669 | Clifford Kareem | Case Manager/Care Coordinator | 330 Federal Street, Camden, NJ 08101 | 2014-03-24 |
| 1326368119 | Tina Lynn Jenkins | Case Manager/Care Coordinator | 3400 E Territorial Rd, Camden, MI 49232-9035 | 2010-06-03 |
| 1134365737 | Deneshia Sheree Brown | Case Manager/Care Coordinator | 301a Washington Street Sw, Camden, AR 71701-2713 | 2009-01-02 |
| 1093838146 | Callie Hildreth | Case Manager/Care Coordinator | 381 Ouachita 396, Camden, AR 71701-9155 | 2007-04-06 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1356986434 | Kendall Jones | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2019-11-12 |
| 1902377534 | Shanice Easter | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2018-12-07 |
| 1457753030 | Dawn Deffenbaugh | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-09-25 |
| 1215339072 | Tayzchana Lewis | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-09-23 |
| Find all providers in CAMDEN | ||||
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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.