OTEVWA HOMES INC (NPI# 1104439033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104439033 |
| Entity Type | Organization |
| Organization Name | OTEVWA HOMES INC |
| Practice Address |
6556 Rustic Ridge Trl Grand Blanc MI 48439-4956 |
| Practice Telephone | 3136900667 |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |
| Authorized Official Name | TIVE EVWARAYE (DIRECTOR) |
| Authorized Official Telephone | 3136900667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
6556 RUSTIC RIDGE TRL |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437107844 | The Center for Gastrointestinal Health At Health Park LLC | Clinic/Center | 600 Health Park Boulvard, Suite E, Grand Blanc, MI 48439 | 2006-05-05 |
| 1669808689 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
| 1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
| 1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
| 1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
| 1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on OTEVWA HOMES INC.
| 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.