KERRY VINCENT (NPI# 1225419641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225419641 |
| Entity Type | Individual |
| Full Name | KERRY VINCENT |
| Practice Address |
400 Stoddard Rd Richmond MI 48062-2505 |
| Mailing Address |
975 16th St Marysville MI 48040-1626 |
| Practice Telephone | 8103922167 |
| Practice Fax Number | 8103922135 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
400 STODDARD RD |
| City | RICHMOND |
| State | MI |
| Zip Code | 48062-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750363305 | Sacred Heart Rehabilitation Center, Inc. | Community/Behavioral Health | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2005-11-18 |
| 1164023578 | Christopher Doan | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-11-03 |
| 1881292316 | Melissa C Glasson | Social Worker | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-10-16 |
| 1861090540 | Theresa Dilaura Strongarone | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-10-14 |
| 1629684915 | Adam C Keller | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-09-22 |
| 1215546304 | James A Johns | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-07-24 |
| 1700403870 | Madeline Burke | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-07-06 |
| 1083231302 | Jennifer Eve-lyn Hoffer | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-07-02 |
| 1134745201 | Chelsey Dianne Elizabeth Carrow | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-06-24 |
| 1508496431 | Alexis Nina Monaco | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184110645 | Lisa Marie Pollauf | Occupational Therapist | 5383 Hessen Rd, Casco, MI 48062 | 2018-07-09 |
| 1073010211 | Alaina Miron | Physical Therapist | Medilodge of Richmond 34901 Division, Richmond, MI 48062 | 2018-04-12 |
| 1841450988 | Thomas Anthony Campbell-cormier | Dentist | 35035 Helze Ln, Richmond Township, MI 48062 | 2008-06-12 |
| 1649438797 | Richmond Physical Therapy Inc | Physical Therapist | 67505 Main Street, Richmond, MI 48062 | 2008-05-27 |
| 1295941391 | John Francis King | Social Worker | 35000 Division, Suite 2, Richmond, MI 48062 | 2007-05-15 |
| 1104963677 | Frank J. Markie | Dentist | 36600 Heritage Dr, Richmond, MI 48062 | 2007-01-31 |
| 1033256508 | Brian J. Pradko | Dentist | 36600 Heritage Dr., Richmond, MI 48062 | 2007-01-31 |
| 1336286897 | Pradko, Gallagher & Slance, Pllc | Dentist | 36600 Heritage Drive, Richmond, MI 48062 | 2007-01-31 |
| 1538215967 | Kenneth Edward Niemi | Dentist | 68720 Main St, Richmond, MI 48062 | 2007-01-26 |
| 1295824068 | Richmond Lenox Ems Ambulance Authority | Public Health or Welfare | 34505 32 Mile Road, Richmond, MI 48062 | 2006-10-12 |
| Find all providers in zip 48062 | ||||
| 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 |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1285277467 | Shamika Melton | Case Manager/Care Coordinator | 6316 Oak Middle Ct Apt 304, Richmond, VA 23231-4870 | 2019-10-21 |
| 1497305171 | Kenithia Evans | Case Manager/Care Coordinator | 6966 Chessgate Falls Ln, Richmond, TX 77469-1818 | 2019-09-16 |
| 1689226540 | Mercades Chevis | Case Manager/Care Coordinator | 19118 Cannon Hills Ln, Richmond, TX 77407-8608 | 2019-07-11 |
| 1609338268 | Nadine Deborah De La Torre | Case Manager/Care Coordinator | 244 S 47th St Apt B, Richmond, CA 94804-3498 | 2019-04-03 |
| 1861956708 | Marcy Williams | Case Manager/Care Coordinator | 312 Brook Rd, Richmond, VA 23220-4225 | 2019-01-24 |
| 1790278000 | Miranda Nicole Dobbs | Case Manager/Care Coordinator | 1081 Heathcliff Dr, Richmond, KY 40475-2659 | 2018-06-11 |
| 1477050433 | Maurie Dennis | Case Manager/Care Coordinator | 1600 Eagles Roost Ct, Richmond, VA 23223-1274 | 2018-04-06 |
| 1790284537 | Alicia Rashelle Harris | Case Manager/Care Coordinator | 151 W Commerce Rd Apt 322, Richmond, VA 23224-2374 | 2018-02-07 |
| Find all providers in RICHMOND | ||||
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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.