D WALLACE HEALTH PROMOTION AND WELLNESS (NPI# 1205347812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205347812 |
| Entity Type | Organization |
| Organization Name | D WALLACE HEALTH PROMOTION AND WELLNESS |
| Practice Address |
15730 Mok Ave Eastpointe MI 48021-2367 |
| Practice Telephone | 3134151538 |
| Practice Fax Number | 5865859555 |
| Mailing Telephone | 3134151538 |
| Mailing Fax Number | 5865859555 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | MRS. DIONNE LANETTE WALLACE (FOUNDER/CHIEF ADMINISTATOR) |
| Authorized Official Telephone | 5862417088 |
| Authorized Official Credential | MSN RN CNL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 4704260135 | MI | Agencies |
| Street Address |
15730 MOK AVE |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163830 | Dionne Lanette Wallace | Registered Nurse | 15730 Mok Ave, Eastpointe, MI 48021-2367 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848934 | Beneficent Wellness L.l.c | Nursing Care | 18918 Hampshire St, Lathrup Village, MI 48076-4412 | 2020-10-15 |
| 1922616192 | Serendipity Private Duty & Respite Home Health Care, LLC | Nursing Care | 30997 Pendleton Apt 241, New Hudson, MI 48165-9459 | 2020-07-14 |
| 1770108896 | Building New Pathways Home Health Care LLC | Nursing Care | 4461 S Sheldon Rd, Canton, MI 48188-2522 | 2020-06-15 |
| 1740801653 | Sharon M Bradley | Nursing Care | 324 N Detroit St, Buchanan, MI 49107-1204 | 2020-05-01 |
| 1982234217 | Vital Care Services LLC | Nursing Care | 46066 Royal Dr, Chesterfield, MI 48051-3250 | 2020-01-26 |
| 1700428455 | Perceptive Care, Inc. | Nursing Care | 1015 28th St Se, Grand Rapids, MI 49508-1309 | 2019-10-15 |
| 1043863707 | Eleanor Parnell | Nursing Care | 4229 Humboldt St, Detroit, MI 48208-2520 | 2019-07-22 |
| 1073173027 | No Place Like Home Health LLC | Nursing Care | 16801 Newburgh Rd Ste 101, Livonia, MI 48154-1606 | 2019-06-20 |
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1700343878 | Nikhil Mehrotra | Nursing Care | 36528 Grand River Ave Ste A-3, Farmington Hills, MI 48335-3016 | 2019-02-26 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
Please comment or provide details below to improve the information on D WALLACE HEALTH PROMOTION AND WELLNESS.
| 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.