SHANNON CRUMBLEY (NPI# 1346605847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346605847 |
Entity Type | Individual |
Full Name | SHANNON CRUMBLEY |
Practice Address |
5555 Conner St 2079c Detroit MI 48213-3448 |
Practice Telephone | 3136461298 |
Enumeration Date | 2015-12-28 |
Last Update Date | 2015-12-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
Street Address |
5555 CONNER ST 2079C |
City | DETROIT |
State | MI |
Zip Code | 48213-3448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245237551 | Mary L Serowoky | Nurse Practitioner | 5555 Conner St, St 2691, Detroit, MI 48213-3448 | 2005-06-30 |
1902422751 | Dhaara Antani | Dietitian, Registered | 5555 Conner St, Detroit, MI 48213-3448 | 2020-06-17 |
1164066643 | Bethany J. Howard | Case Manager/Care Coordinator | 5555 Conner St, Detroit, MI 48213-3448 | 2019-10-29 |
1699234153 | Madison Community Hospital Inc | Nurse Practitioner | 5555 Conner St, Detroit, MI 48213-3448 | 2019-03-14 |
1700357563 | Ashley Henninger | Speech-Language Pathologist | 5555 Conner St, Detroit, MI 48213-3448 | 2018-12-05 |
1720564651 | Metropolitan Detroit Center for Independent Living | Case Management | 5555 Conner St, Detroit, MI 48213-3448 | 2018-07-13 |
1386158962 | Sharon Diane Fowler | Counselor | 5555 Conner St, Detroit, MI 48213-3448 | 2017-11-19 |
1083080121 | Sonya Shelman | Social Worker | 5555 Conner St, Detroit, MI 48213-3448 | 2015-08-12 |
1629450960 | Marquetta Turner | Social Worker | 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 | 2015-06-23 |
1912317975 | Emerging Industries Training Institute, Inc. | Non-emergency Medical Transport (VAN) | 5555 Conner St, Suite 1600, Detroit, MI 48213-3448 | 2014-04-30 |
Find all providers in the same location |
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 | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588285001 | Kadeidra Woods | In Home Supportive Care | 18709 Albion St, Detroit, MI 48234-3701 | 2020-05-06 |
1497375547 | Continuum Loving Care, LLC | In Home Supportive Care | 16724 Saint Marys St, Detroit, MI 48235-3653 | 2020-04-19 |
1225670656 | Veronica Louise Williams | In Home Supportive Care | 7601 E Jefferson Ave Apt 512, Detroit, MI 48214-3720 | 2019-10-17 |
1386298438 | Jewels Home Health Care Service, LLC | In Home Supportive Care | 14005 Roselawn St, Detroit, MI 48238-2469 | 2019-07-27 |
1154974541 | Tracie's Loving Touch Senior Services LLC | In Home Supportive Care | 18273 Lenore, Detroit, MI 48219-3046 | 2019-07-24 |
1477105369 | Cam Fam Community Care LLC | In Home Supportive Care | 16718 Vaughan St, Detroit, MI 48219-3356 | 2019-07-11 |
1326500547 | Averies Care Services LLC | In Home Supportive Care | 18717 Schaefer Hwy, Detroit, MI 48235-1767 | 2019-04-05 |
1962985598 | Delanie House LLC | In Home Supportive Care | 9530 Chatham, Detroit, MI 48239-1306 | 2018-09-10 |
1427536226 | Imperial Jewelry By Ellice, Inc | In Home Supportive Care | 13704 Keal St # 101, Detroit, MI 48227-3019 | 2018-08-02 |
1134605363 | Phoenix Wings | In Home Supportive Care | 2222 Lothrop St, Detroit, MI 48206-2672 | 2018-07-11 |
Find all providers in DETROIT |
Please comment or provide details below to improve the information on SHANNON CRUMBLEY.
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.