REDWOOD (NPI# 1215130554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215130554 |
| Entity Type | Organization |
| Organization Name | REDWOOD |
| Practice Address |
5425 Whipple Lake Rd Clarkston MI 48348-3058 |
| Mailing Address |
3280 Trillium Ln Oxford MI 48371-5528 |
| Practice Telephone | 2483941836 |
| Practice Fax Number | 2486206061 |
| Mailing Telephone | 2486251280 |
| Mailing Fax Number | 2486206061 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REETA J SMITH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2486251280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Redwood + Sage | 729 Hathaway Dr, 104f, Colorado Springs, CO 80915 |
| Colorado Business Entities | Redwood 58, LLC | 700 N Colorado Blvd #677, Denver, CO 80206 |
| New York State Corporations | REDWOOD ABSTRACT INC. | 11 Redwood Lane, Smithtown, Ny 11787 |
| System for Award Management (SAM) Entities | REDWOOD ACADEMY OF UKIAH | 1059 N State St, Ukiah, CA 95482-3413 |
| Oregon Corporations, Companies and Business Names | REDWOOD ACCOUNTING & BUSINESS SOLUTIONS, LLC | 8525 Se 8th Ave, Portland, OR 97202 |
| Connecticut Business Registrations | REDWOOD ACQUISITIONS, LLC | C/o Blumbergexcelsior Corporate Service,, Inc., 1220 N. Market St #806, Wilmington, DE 19801 |
| Colorado Business Entities | Redwood Acupuncture and Herbs, LLC | 818 Aztec Dr, Fort Collins, CO 80521-1768 |
| Colorado Business Entities | Redwood Administrative Services, LLC | 4025 E Huntington Dr Ste 150, Flagstaff, AZ 86004 |
| Washington State Corporations | REDWOOD ADMINISTRATIVE SERVICES, LLC | 4025 E Huntington Dr Ste 150, Flagstaff, AZ 86004-9411 |
| New York State Corporations | REDWOOD ADVANCED LLC | 1428 36th Street, Suite 200, Brooklyn, New York 11218 |
| Street Address |
5425 WHIPPLE LAKE RD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| Find all providers in zip 48348 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750598918 | Alternative Community Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9402 Michigamme Rd, Clarkston, MI 48348-3135 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199507 | Laura Lisa Gonzalez | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7134 Blankenship Cir, Davison, MI 48423-2317 | 2020-09-17 |
| 1558984377 | Angel Patient Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12601 E Outer Dr, Detroit, MI 48224-4204 | 2020-05-27 |
| 1659990208 | Lydias House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11667 152nd Ave, West Olive, MI 49460-9232 | 2020-04-14 |
| 1124667118 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2678 S Waverly Hwy, Lansing, MI 48911-6303 | 2019-12-23 |
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1518428333 | Alternative Adult Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19163 Woodingham Dr, Detroit, MI 48221-1650 | 2019-03-26 |
| 1245701960 | Teresa Elaine Guzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 Marvin St, Battle Creek, MI 49017-8040 | 2018-12-06 |
| 1508334764 | Marquette Staffing Agency, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 592 Blemhuber Ave, Marquette, MI 49855-4818 | 2018-11-06 |
| 1912481235 | Adrienne Flowers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18403 Kentucky St, Detroit, MI 48221-2029 | 2018-09-21 |
| 1417431487 | Helping Hands Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5116 18th Rd, Escanaba, MI 49829-9525 | 2018-09-17 |
| 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.