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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225053705 | Tina Marie Graves | Counselor | 100 Terri Rd, Gulfport, MS 39503-3336 | 2006-07-13 |
Street Address |
16065 FISH LAKE RD |
City | HOLLY |
State | MI |
Zip Code | 48442 |
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 Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(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). |
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 |
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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.