SENIOR CHRONIC CARE MANAGEMENT, LLC (NPI# 1205485752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205485752 |
| Entity Type | Organization |
| Organization Name | SENIOR CHRONIC CARE MANAGEMENT, LLC |
| Practice Address |
13301 Mound Rd Ste 3b Hamtramck MI 48212-2545 |
| Practice Telephone | 2486588064 |
| Practice Fax Number | 3133345081 |
| Mailing Telephone | 2486588064 |
| Mailing Fax Number | 3133345081 |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2019-09-07 |
| Authorized Official Name | MS. LATINA DESIREE KAIGLER (MANAGER) |
| Authorized Official Telephone | 2486588064 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13301 Mound Rd Ste 3b, Hamtramck, MI 482122545 | 2486588064 | 3133345081 |
| Street Address |
13301 MOUND RD STE 3B |
| City | HAMTRAMCK |
| State | MI |
| Zip Code | 48212-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235395195 | Ascension Southeast Michigan Community Health | Nurse Practitioner | 15590 W 9 Mile Rd, Southfield, MI 48075 | 2008-07-31 |
| 1437155488 | Patricia Bauer | Nurse Practitioner | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2005-06-23 |
| 1336383660 | Jenny K David | Nurse Practitioner | 5170 Rifle River Trl, Alger, MI 48610-9343 | 2009-04-30 |
| 1447430236 | Brooke Alice Borgeson-gray | Nurse Practitioner | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-11-08 |
| 1831303627 | Rosemary Blashill | Nurse Practitioner | 508 Ashmun St, Suite 120, Sault Sainte Marie, MI 49783-1976 | 2007-05-10 |
| 1376692087 | Karen M Warren | Nurse Practitioner | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2007-01-10 |
| 1962595405 | Amanda Jean Barton | Nurse Practitioner | 520 Cobb St, Cadillac, MI 49601 | 2006-10-02 |
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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.