MENTORS OF MICHIGAN INC. (NPI# 1447779061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447779061 |
Entity Type | Organization |
Organization Name | MENTORS OF MICHIGAN INC. |
Practice Address |
10140 Curtis Ln White Lake MI 48386-3813 |
Mailing Address |
3812 Finch Dr Troy MI 48084-1667 |
Practice Telephone | 2483601714 |
Mailing Telephone | 2486323534 |
Mailing Fax Number | 2482697167 |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-14 |
Authorized Official Name | KELLY ANN DEVEREAUX (PRESIDENT) |
Authorized Official Telephone | 2486323534 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | AS630273674 | MI | Agencies |
Street Address |
10140 CURTIS LN |
City | WHITE LAKE |
State | MI |
Zip Code | 48386-3813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447733613 | Michelle A Warr | Occupational Therapist | 10770 Elizabeth Lake, White Lake, MI 48386 | 2018-09-12 |
1609368240 | Nerissa Sukarukoff | Speech-Language Pathologist | 9274 Steephollow Drive, White Lake, MI 48386 | 2018-05-30 |
1811322464 | Shanita Brumwell | Counselor | 10163 Cedar Island Rd, White Lake, MI 48386 | 2013-09-13 |
1518280056 | Mandi Withey | Psychologist | 7784 Pontiac Lake Rd, White Lake, MI 48386 | 2010-03-11 |
1619042348 | John Paul Zablocki | Dentist | John P Zablocki Dds, 9178 Highland Rd #3, White Lake, MI 48386 | 2006-11-21 |
1659456523 | Mark H Richter | General Practice | 8355 Highland Rd #106, White Lk, MI 48386 | 2006-10-26 |
1265554836 | Emily Marie Emerick | Occupational Therapist | 10770 Elizabeth Lake Rd, White Lake, MI 48386 | 2007-04-04 |
1306328216 | Christin J Gilbert | Counselor | 2073 Drury Ln, White Lake, MI 48386-1535 | 2018-09-06 |
1407020472 | John Walter Beiter | Counselor | 2000 Kingston St, White Lake, MI 48386-1613 | 2008-04-21 |
1790133551 | Paula Albright | Registered Nurse | 8941 Pontiac Lake Rd Apt 6, White Lake, MI 48386-1673 | 2016-06-01 |
Find all providers in zip 48386 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
Find all providers with the same taxonomy |
City | WHITE LAKE |
Zip Code | 48386 |
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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.