TINA MARIE GRAVES


Address: 16065 Fish Lake Rd, Holly, MI 48442
Phone: 2482407566

TINA MARIE GRAVES (NPI# 1225527195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225527195
Entity Type Individual
Full Name TINA MARIE GRAVES
Practice Address 16065 Fish Lake Rd
Holly
MI 48442
Mailing Address 16065 Fish Lake Rd
Holly
MI 48442-8346
Practice Telephone 2482407566
Mailing Telephone 2482407566
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Providers TINA GRAVES

NPI Name Taxonomy Address Enumeration
1225053705 Tina Marie Graves Counselor 100 Terri Rd, Gulfport, MS 39503-3336 2006-07-13

Office Location

Street Address 16065 FISH LAKE RD
City HOLLY
State MI
Zip Code 48442

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831627926 Emily Marie Ulewicz Occupational Therapist 10483 Dixie Highway, Holly, MI 48442 2017-06-01
1427411305 Amy Jacobs Occupational Therapist 10293 S Saginaw Rd, Holly, MI 48442 2016-03-30
1912360892 Kathryn Ann Garza Occupational Therapist 10293 S. Saginaw Rd, Holly, MI 48442 2016-03-30
1730502030 Jonathan Aldric Potvin Physical Therapist 10293 Saginaw Rd, Holly, MI 48442 2014-01-23
1558645572 Jonathan Boutni Physical Therapist 10293 Dixie Highway, Suite 0, Holly, MI 48442 2011-10-10
1770875049 Donald Mackenzie Pharmacist 15242 N Holly Rd, Holly, MI 48442 2011-05-05
1235333295 Michael Martin Katz Psychologist 15249 Fish Lake Rd, Holly, MI 48442 2007-06-13
1629114293 Fred T Phillips Dentist 503 S Broad St, Holly, MI 48442 2007-01-30
1053495648 Rose Hill Center Inc Community Based Residential Treatment Facility, Mental Illness 5130 Rose Hill Blvd, Holly, MI 48442 2006-10-24
1063914646 Heather Hepper Physical Therapist 10483 Dixie Hwy, Holly, MI 48442 2018-02-28
Find all providers in zip 48442

Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841753407 Sheri L Germane Intermediate Care Facility, Mentally Retarded 634 Hickory St, Milford, MI 48381-1651 2019-04-10
1780112383 Colene A. Snowden Intermediate Care Facility, Mentally Retarded 18331 Tipsico Lake Rd, Fenton, MI 48430-8554 2017-05-25
1346622867 Restart Veterans Foster Home Care LLC Intermediate Care Facility, Mentally Retarded 2105 Lakeview Dr, Suite # 135, Ypsilanti, MI 48198-6754 2015-06-20
1922442607 Brianna's Home Intermediate Care Facility, Mentally Retarded 16131 Linwood St, Detroit, MI 48221-3122 2013-04-24
1639453533 Agnus Dei Afc Home Inc. Intermediate Care Facility, Mentally Retarded 1307 42nd St, Allegan, MI 49010-8312 2011-10-11
1053533554 New Outlook, Inc. Intermediate Care Facility, Mentally Retarded 27586 Schoolcraft Rd., Livonia, MI 48150 2007-05-03

Competitor

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City HOLLY
Zip Code 48442

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Dataset Information

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.

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