MS. MAVIS GAIL POOKRUM (NPI# 1386114742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386114742 |
Entity Type | Individual |
Full Name | MS. MAVIS GAIL POOKRUM |
Practice Address |
21732 Colony Park Circle #105 Southfield MI 48076 |
Practice Telephone | 3132837838 |
Mailing Telephone | 3132837838 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Street Address |
21732 COLONY PARK CIRCLE #105 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
1871035196 | Nafeesa Hatshepsut Dirul-islam-johnson | Counselor | 26951 Fairfield, Southfield, MI 48076 | 2016-11-17 |
Find all providers in zip 48076 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528629870 | Ez Care LLC | Technician | 15565 Northland Dr E Ste 910e, Southfield, MI 48075-5331 | 2019-06-27 |
1184263964 | Personal Quality Care, LLC | Technician | 21166 Mahon Dr, Southfield, MI 48075-7521 | 2019-12-27 |
1245511252 | Wholecare Solutions LLC | Technician | 29900 Franklin Rd Unit 151, Southfield, MI 48034-1199 | 2011-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164021028 | Jaharie Green | Technician | 235 Arbor Glen Dr, East Lansing, MI 48823-8459 | 2020-10-21 |
1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
1346857067 | Nicholas Luke Roman | Technician | 10452 Lodge Dr, Allendale, MI 49401-9395 | 2020-09-27 |
1346856242 | Marissa Jean Brandly | Technician | 768 W Castlebury Cir, Saline, MI 48176-1348 | 2020-09-17 |
1962016030 | Stephanie Pertchi | Technician | 10745 48th Ave Unit Q3, Allendale, MI 49401-8127 | 2020-09-04 |
1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
1477166924 | Whispering Pines 2 | Technician | 1878 Soules Rd, Afton, MI 49705-9717 | 2020-08-25 |
1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1285242420 | Anna Therese Pignone | Technician | 918 E Grand River Ave Apt 718, East Lansing, MI 48823-4597 | 2020-07-14 |
Find all providers with the same taxonomy |
City | SOUTHFIELD |
Zip Code | 48076 |
Please comment or provide details below to improve the information on MS. MAVIS GAIL POOKRUM.
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.