PREMIER CARE WARREN (NPI# 1356621668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356621668 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE WARREN |
| Practice Address |
23700 Van Dyke Ave Warren MI 48089-1600 |
| Mailing Address |
20205 Sorrento St Detroit MI 48235-1191 |
| Practice Telephone | 5867586670 |
| Mailing Telephone | 3135858389 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |
| Authorized Official Name | MS. KRIS MONIQUE LEWIS (SUBSTANCE ABUSE THERAPIST) |
| Authorized Official Telephone | 5867586670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1-04845 | MI | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 6803085617 | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992086144 | Premier Care Warren | Case Management | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-09-01 |
| Street Address |
23700 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104841287 | David Carl Rimka | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1669 | 2006-07-12 |
| 1154965978 | Paula Christine Hemphill | Licensed Practical Nurse | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2019-11-05 |
| 1992086144 | Premier Care Warren | Case Management | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-09-01 |
| 1942592167 | Gena A. Cunningham | Social Worker | 23700 Van Dyke Ave, Suite 130, Warren, MI 48089-1600 | 2011-05-05 |
| 1760636971 | Vinod Kohli Md PC | General Practice | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-11-14 |
| 1437307295 | Belinda Marie Hunter | Social Worker | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-09-05 |
| 1508012212 | Joann Cheryel Brown | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-08-13 |
| 1396991097 | Kathryn J Roberts | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-08-13 |
| 1558532200 | Raymond Burl Holliman | Clinic/Center | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-03-20 |
| 1619148897 | Millennium Treatment Services LLC | Clinic/Center | 23700 Van Dyke Ave, Warren, MI 48089-1669 | 2008-03-17 |
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| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331092 | Kaitlyn Lee Goodhart | Community/Behavioral Health | 2160 Howland Wilson Rd Ne, Warren, OH 44484-3921 | 2020-06-25 |
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1891331930 | Michael Jacob Limbeck | Community/Behavioral Health | 2088 Saratoga Ave Sw, Warren, OH 44485-3960 | 2019-11-25 |
| 1497317424 | Susan Elizabeth Kilpatrick | Community/Behavioral Health | 1901 Southwest Blvd Sw, Warren, OH 44485-3973 | 2019-06-29 |
| 1972090967 | Riverside Counseling, LLC | Community/Behavioral Health | 436 Pennsylvania Ave W, Warren, PA 16365-2238 | 2018-04-16 |
| 1871005306 | Crn Healthcare Inc | Community/Behavioral Health | 4087 Youngstown Rd Se, Warren, OH 44484-3368 | 2017-10-24 |
| 1568998425 | The Salvation Army Habor Light Onward | Community/Behavioral Health | 24140 Mound Rd, Warren, MI 48091-5322 | 2017-05-11 |
| 1689002719 | Macomb-oakland Home Care, Inc. | Community/Behavioral Health | 1999 Common Rd, Warren, MI 48092-2164 | 2013-10-29 |
| 1932391042 | Childrens Home of Detroit | Community/Behavioral Health | 6902 Chicago Rd, Warren, MI 48092-1686 | 2007-08-13 |
| 1043331994 | Children's Center for Treatment and Education | Community/Behavioral Health | 1885 Market St, Warren, PA 16365-1277 | 2007-04-02 |
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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.