COORDINATED CARE 1, INC (NPI# 1174025415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174025415 |
| Entity Type | Organization |
| Organization Name | COORDINATED CARE 1, INC |
| Other Organization Name | COORDINATED CARE 1 |
| Practice Address |
2328 E 7 Mile Rd Detroit MI 48234-1304 |
| Mailing Address |
Po Box 99705 Troy MI 48099-9705 |
| Practice Telephone | 2484438044 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | GIGI J (MEMBER) |
| Authorized Official Telephone | 2484438044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PRIVATE PAY | 05438U | 01 |
| Other Name | Type Code |
|---|---|
| Coordinated Care 1 | Doing Business As Name - Organization |
| Coordinated Care 1, INC | Doing Business As Name - Organization |
| Street Address |
2328 E 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992196281 | Banks Center for Insight, Counseling and Health Resources | Clinic/Center | 2328 E 7 Mile Rd, Ste. 4, Detroit, MI 48234-1304 | 2015-02-09 |
| 1386186617 | Gilead Traumatic Brain & Back Rehab,llc | Clinic/Center | 2328 E 7 Mile Rd, Suite # 3, Detroit, MI 48234-1304 | 2016-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| 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 |
|---|---|---|---|---|
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1083243596 | Kelley Grice | Case Manager/Care Coordinator | 4620 Haverhill St, Detroit, MI 48224-3520 | 2020-04-06 |
| 1316573652 | Stacey Hayes | Case Manager/Care Coordinator | 18283 Freeland St, Detroit, MI 48235-2537 | 2020-03-18 |
| 1255978045 | Barbara Richelle Williams | Case Manager/Care Coordinator | 1800 Brainard St Apt 104, Detroit, MI 48208-2863 | 2019-11-29 |
| 1609427376 | Alexis Williams | Case Manager/Care Coordinator | 8828 Moffat St, Detroit, MI 48213-2909 | 2019-09-24 |
| 1376107136 | Brittany Wright-ahmad | Case Manager/Care Coordinator | 888 Pallister St Apt 103, Detroit, MI 48202-2670 | 2019-04-26 |
| 1336609320 | Emily Dozier | Case Manager/Care Coordinator | 65 Cadillac Sq Fl 30, Detroit, MI 48226-2844 | 2019-03-25 |
| 1063913457 | Candiss Letice Chambers | Case Manager/Care Coordinator | 2712 Gratiot Ave, Detroit, MI 48207-2493 | 2018-02-22 |
| 1356859375 | Natasha Walker | Case Manager/Care Coordinator | 4929 Spokane St, Detroit, MI 48204-5021 | 2018-01-11 |
| Find all providers in DETROIT | ||||
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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.