KAIROS HEALTHCARE INCORPORATED (NPI# 1417023607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417023607 |
Entity Type | Organization |
Organization Name | KAIROS HEALTHCARE INCORPORATED |
Practice Address |
1321 S Fayette St Saginaw MI 48602-1447 |
Mailing Address |
6379 Dixie Hwy Bridgeport MI 48722-9566 |
Practice Telephone | 9897928000 |
Practice Fax Number | 9897928445 |
Mailing Telephone | 9897774357 |
Mailing Fax Number | 9897777257 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. FRED E. WIGEN JR. (PRESIDENT CEO) |
Authorized Official Telephone | 9897774357 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 730174 | MI | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | HEALTH PLUS PIN | 0K47927 | 01 |
MI | VALUE OPTIONS PIN | 328565 | 01 |
MI | MCARE PIN | 14072 | 01 |
MI | HEALTH ALLIANCE PLAN PIN | 543980 1427162239 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427162239 | Kairos Healthcare Incorporated | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722-9566 | 2006-08-18 |
1184758435 | Kairos Healthcare Incorporated | Social Worker | 6379 Dixie Hwy, Bridgeport, MI 48722-9566 | 2007-03-16 |
1174690648 | Kairos Healthcare Incorporated | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2006-11-29 |
1750457958 | Kairos Healthcare Incorporated | Counselor | 20400 Superior Rd, Taylor, MI 48180-5362 | 2006-11-28 |
Street Address |
1321 S FAYETTE ST |
City | SAGINAW |
State | MI |
Zip Code | 48602-1447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619518024 | Larry West | Peer Specialist | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-10-07 |
1669023289 | Jennifer P Burdick | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-09-25 |
1093374951 | Jennifer Hauch | Peer Specialist | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-06-13 |
1871967745 | Aaron M Steinke | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2015-11-16 |
1982075545 | Nicole Orosco | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2015-10-08 |
1932350592 | Tami Marie Kirkendolph | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2008-10-01 |
1881861045 | Fabian Martin Torres | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2008-05-15 |
1609092600 | John Patrick Callahan | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-04-18 |
1528182102 | Jerry Camal Jackson | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-03-19 |
1801920491 | Mallerey L. Michaels | Social Worker | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265978894 | Lauren Michelle Stanton | Substance Abuse Rehabilitation Facility | 127 N Weadock Ave, Saginaw, MI 48607-1586 | 2017-01-06 |
1093152092 | Holy Cross Youth and Family Services Inc | Substance Abuse Rehabilitation Facility | 2084 Hemmeter Rd, Saginaw, MI 48603-3943 | 2013-05-30 |
1124247382 | Saginaw Odyssey House, Inc | Substance Abuse Rehabilitation Facility | 128 N Warren Ave, Saginaw, MI 48607-1548 | 2007-04-25 |
1689947996 | Holy Cross Youth and Family Services | Substance Abuse Rehabilitation Facility | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2012-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
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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.