MR. METUSCHELAH MUNYABERA (NPI# 1104103092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104103092 |
| Entity Type | Individual |
| Full Name | MR. METUSCHELAH MUNYABERA |
| Practice Address |
14820 32nd St Gobles MI 49055-8648 |
| Practice Telephone | 2692164230 |
| Practice Fax Number | 2695856009 |
| Mailing Telephone | 2692164230 |
| Mailing Fax Number | 2695856009 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
AF800093261 | MI | Respite Care Facility |
| Street Address |
14820 32ND ST |
| City | GOBLES |
| State | MI |
| Zip Code | 49055-8648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902332604 | Joseph John-moynihan Olsiewicz | Specialist/Technologist | 25038 County Road 388, Gobles, MI 49055 | 2017-05-02 |
| 1497207609 | Cornerstone Management Group LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 South State Street, Gobles, MI 49055 | 2016-11-04 |
| 1033467626 | Anita Ficsor Gutierrez | Family Medicine | 26648 County Road 653, Gobles, MI 49055 | 2012-08-29 |
| 1295054302 | Linda Lou Millek | Counselor | 18575 32nd St, Gobles, MI 49055 | 2010-05-28 |
| 1275750853 | Gregory Harry Doll | Pharmacist | 206 South State St., Gobles, MI 49055 | 2007-04-18 |
| 1093935439 | Joann Boyer | Technician, Other | 206 S. State Street, Gobles, MI 49055-0290 | 2007-04-26 |
| 1790902815 | Mary Lee Flesher | Pharmacist | 206 S. State Street, Gobles, MI 49055-0403 | 2007-04-19 |
| 1619194362 | Gary Olson Flesher | Pharmacist | 206 S. State Street, Gobles, MI 49055-0403 | 2007-04-20 |
| 1588029706 | Arthur Pruitt | Counselor | 40096 28th Ave, Gobles, MI 49055-8614 | 2015-12-16 |
| 1366806804 | Ashley Giuzio | Occupational Therapist | 18527 32nd St, Gobles, MI 49055-8633 | 2016-04-11 |
| Find all providers in zip 49055 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181042 | Strive Recreational Therapy Services, Inc. | Respite Care | 6751 Dixie Hwy Ste 113, Clarkston, MI 48346-2080 | 2019-02-27 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1922531854 | Andrew A Feher Dds | Respite Care | 11270 E 13 Mile Rd Ste 3, Warren, MI 48093-2599 | 2017-04-07 |
| 1235679960 | Care Within Care Housing, Inc | Respite Care | 11256 Engleside St, Detroit, MI 48205-3210 | 2017-02-28 |
| 1649716804 | Learning and Living, LLC. | Respite Care | 150 Mary Alexander Ct, Northville, MI 48167-1628 | 2017-01-12 |
| 1063956654 | Rainbow Homes Non-profit Housing Corporation | Respite Care | 2111 Adelpha Ave, Holt, MI 48842-1117 | 2016-12-15 |
| 1871036442 | Raysen Care Services | Respite Care | 29040 Tessmer Ct, Madison Heights, MI 48071-2656 | 2016-11-29 |
| 1093186769 | Samira Hamo-oumarou | Respite Care | 23378 Heritage Dr, Woodhaven, MI 48183-3240 | 2015-10-07 |
| 1609252592 | Bernadeta Lis | Respite Care | 520 Oxford Ct, Rochester Hills, MI 48307-4527 | 2015-08-03 |
| 1790189777 | Community Linx | Respite Care | 8291 Rolling Hill Ln, Grand Ledge, MI 48837-9251 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
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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.