LIFE- ALYSIS KIDNEY CENTER, LLC (NPI# 1255442190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255442190 |
| Entity Type | Organization |
| Organization Name | LIFE- ALYSIS KIDNEY CENTER, LLC |
| Practice Address |
5830 Conner St Detroit MI 48213-3458 |
| Practice Telephone | 3133715433 |
| Practice Fax Number | 3133716937 |
| Mailing Telephone | 3133715433 |
| Mailing Fax Number | 3133716937 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | MR. LYLE MARUICE GRAY (PARTNER) |
| Authorized Official Telephone | 3133715433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 302R00000X | MI | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4603219 | 05 |
| Street Address |
5830 CONNER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079697 | One Step At A Time Physical Therapy, L.L.C. | Clinic/Center | 5830 Conner St, Detroit, MI 48213-3458 | 2020-09-23 |
| 1689151946 | Woodward Boulevard Medical Bldg., LLC. | Clinic/Center | 5830 Conner St, Detroit, MI 48213-3458 | 2018-07-19 |
| 1053818039 | Latonya Wallace-hardiman | Clinic/Center | 5830 Conner St, Detroit, MI 48213-3458 | 2018-04-06 |
| 1437374030 | Suezette Olaker | Family Medicine | 5830 Conner St, Detroit, MI 48213 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865249 | Meridian Health Plan of Michigan, Inc. | Health Maintenance Organization | 777 Woodward Ave Ste 600, Detroit, MI 48226-3589 | 2019-08-05 |
| 1487137410 | Glorious Home Help Care and Mihp | Health Maintenance Organization | 4640 Audubon Rd, Detroit, MI 48224-2797 | 2018-09-14 |
| 1144735648 | Total Health Care | Health Maintenance Organization | 3011 W Grand Blvd Ste 1600, Detroit, MI 48202-3000 | 2017-12-06 |
| 1215488689 | Citizens Pharmacy Inc | Health Maintenance Organization | 15537 Schoolcraft St, Detroit, MI 48227-1755 | 2016-10-20 |
| 1093262107 | Angelic Care Services | Health Maintenance Organization | 18630 Schoolcraft Ste 101, Detroit, MI 48223-2902 | 2016-09-07 |
| 1548612146 | Loyalty & Care LLC | Health Maintenance Organization | 8237 Schaefer Hwy Apt 39, Detroit, MI 48228-2782 | 2016-07-07 |
| 1558610832 | Victoria Sutton | Health Maintenance Organization | 14863 Sorrento St, Detroit, MI 48227-3601 | 2012-09-02 |
| 1386910958 | Nurses On Wheels | Health Maintenance Organization | 11790 Beaconsfield St, Detroit, MI 48224-4106 | 2012-03-28 |
| 1780977660 | Doctors Home Care Management | Health Maintenance Organization | 15822 Fairfield St, Detroit, MI 48238-4119 | 2011-05-25 |
| 1558516153 | Elder Home Care | Health Maintenance Organization | 16352 E Warren Ave, Detroit, MI 48224-2716 | 2008-11-24 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on LIFE- ALYSIS KIDNEY CENTER, LLC.
| 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.