SHELLY HARTMAN (NPI# 1265861637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265861637 |
| Entity Type | Individual |
| Full Name | SHELLY HARTMAN |
| Practice Address |
5750 Sheridan Rd Unionville MI 48767-9729 |
| Practice Telephone | 9896742258 |
| Mailing Telephone | 9896742258 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | AL790260639 | MI | Agencies |
| Street Address |
5750 SHERIDAN RD |
| City | UNIONVILLE |
| State | MI |
| Zip Code | 48767-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687460 | Clarice Elizabeth Kruse | Behavioral Analyst | 4483 W. Bay City Forsetville Rd., Unionville, MI 48767 | 2019-09-10 |
| 1477658474 | Page Marie Sting | Physical Therapy Assistant | 1564 Kiel Rd, Unionville, MI 48767-8608 | 2006-09-14 |
| 1760479307 | Akron Columbia Wisner Ambulance Service | Ambulance | 6454 Merry St, Unionville, MI 48767-8612 | 2005-09-29 |
| 1164088563 | Marisa Morton | Behavior Technician | 5337 Caro Rd, Unionville, MI 48767-9209 | 2019-05-13 |
| 1164977401 | Julie Weber | Speech-Language Pathologist | 3196 Gotham Rd, Unionville, MI 48767-9417 | 2016-08-16 |
| 1396286936 | Jeffrey Enos | Physical Therapist | 3500 Wildner Rd, Unionville, MI 48767-9480 | 2017-03-15 |
| 1487290565 | Diana Mika | Massage Therapist | 2680 E Dickerson Rd, Unionville, MI 48767-9623 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223612 | Professional Exchange Network LLC | Social Worker | 15 Pond St, Unionville, CT 06085-1521 | 2020-10-26 |
| 1760090914 | Kailey Redding | Physician Assistant | 4 Larchwood W, Unionville, CT 06085-1150 | 2020-07-14 |
| 1487290565 | Diana Mika | Massage Therapist | 2680 E Dickerson Rd, Unionville, MI 48767-9623 | 2019-11-22 |
| 1225687460 | Clarice Elizabeth Kruse | Behavioral Analyst | 4483 W. Bay City Forsetville Rd., Unionville, MI 48767 | 2019-09-10 |
| 1164088563 | Marisa Morton | Behavior Technician | 5337 Caro Rd, Unionville, MI 48767-9209 | 2019-05-13 |
| 1881168193 | Cindy Elizabeth Mcauliffe | Dietetic Technician, Registered | 13 Barwood Mnr, Unionville, CT 06085-1211 | 2019-01-20 |
| 1871071290 | Brianna Marie Oppici | Licensed Practical Nurse | 106 Route 284, Unionville, NY 10988-2018 | 2018-07-30 |
| 1275051724 | Lydia Prudence Perry | Counselor | 1697 Farmington Ave # 2, Unionville, CT 06085-1222 | 2017-09-05 |
| 1366975617 | Ashley Kalosieh | Speech-Language Pathologist | 11 Jules Ct, Unionville, CT 06085-1090 | 2017-04-04 |
| 1396286936 | Jeffrey Enos | Physical Therapist | 3500 Wildner Rd, Unionville, MI 48767-9480 | 2017-03-15 |
| Find all providers in UNIONVILLE | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | UNIONVILLE |
| Zip Code | 48767 |
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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.