BRENDA WHITE (NPI# 1295258010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295258010 |
| Entity Type | Individual |
| Full Name | BRENDA WHITE |
| Practice Address |
21180 Gentner St Warren MI 48089-3437 |
| Practice Telephone | 5867749559 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | AF500286756 | MI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501313 | Brenda White | Specialist/Technologist | 1 College Ave Ste 3033, Mechanicsburg, PA 17055-6807 | 2019-07-29 |
| 1780855882 | Brenda White | Registered Nurse | 1502 Baytree Ter, Mitchellville, MD 20721-2384 | 2008-03-17 |
| 1467633800 | Brenda Denise White | Dietitian, Registered | Wramc 6900 Georgia Avenue Nw, Washington, DC 20307-0001 | 2007-11-14 |
| 1518085232 | Brenda White | Social Worker | 2408 W Maldonado Rd, Phoenix, AZ 85041-6425 | 2007-03-27 |
| 1982792164 | Brenda J White | Chiropractor | 401 N Union St, Dodgeville, WI 53533-1347 | 2006-10-11 |
| 1427434372 | Brenda S. White | Case Manager/Care Coordinator | 1106 N 155th St, Suite B, Basehor, KS 66007-7100 | 2015-08-03 |
| 1598156770 | Brenda Sue White | Licensed Practical Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2015-02-10 |
| 1285982363 | Brenda Carolina White | Nurse Practitioner | 80 Seymour St, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | 2012-08-21 |
| 1821363110 | Brenda M White | Registered Nurse | 1932 Arthur Ave, Room403b, Bronx, NY 10457-6306 | 2012-03-20 |
| 1275852956 | Brenda C. White | Nurse Practitioner | 770 Magnolia Ave, Suite 2a, Corona, CA 92879-3120 | 2010-05-20 |
| Street Address |
21180 GENTNER ST |
| City | WARREN |
| State | MI |
| Zip Code | 48089-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593892 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 206, Warren, NJ 07059-5129 | 2020-09-23 |
| 1760093637 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 109, Warren, NJ 07059-5129 | 2020-08-13 |
| 1164033049 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 203, Warren, NJ 07059-5129 | 2020-08-13 |
| 1285260596 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 107, Warren, NJ 07059-5129 | 2020-03-18 |
| 1356977664 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 205, Warren, NJ 07059-5129 | 2020-03-18 |
| 1376179689 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 215, Warren, NJ 07059-5129 | 2020-03-18 |
| 1447886759 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 222, Warren, NJ 07059-5129 | 2020-03-18 |
| 1164052197 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 105, Warren, NJ 07059-5129 | 2020-01-17 |
| 1982234910 | Special Needs Residence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 220, Warren, NJ 07059-5129 | 2020-01-17 |
| 1437795283 | Special Needs Residence LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Bethel Rd Apt 202, Warren, NJ 07059-5129 | 2019-11-26 |
| Find all providers in WARREN | ||||
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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.