MS. JAYNE ANN GRAHAM (NPI# 1467099150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467099150 |
| Entity Type | Individual |
| Full Name | MS. JAYNE ANN GRAHAM |
| Credential | AFC PROVIDER |
| Practice Address |
831 Rose Avenue Big Rapids MI 49307 |
| Practice Telephone | 2317964512 |
| Mailing Telephone | 2317964512 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AF540281082 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1098248 | 05 |
| Street Address |
831 ROSE AVENUE |
| City | BIG RAPIDS |
| State | MI |
| Zip Code | 49307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904369 | Shannon Lynn Barstow | Registered Nurse | 20661 Okemos Rd, Big Rapids, MI 49307 | 2019-07-19 |
| 1235637604 | Kendra Lee Dolorfino | Nurse Practitioner | 650 Linden St Ste 4, Big Rapids, MI 49307 | 2018-01-31 |
| 1326553959 | Hope Primary and Urgent Care of Big Rapids Pllc | Clinic/Center | 201 Linden Street, Big Rapids, MI 49307 | 2017-12-05 |
| 1740539824 | Brandee Lee Gard | Community Health Worker | 745 Water Tower Rd., Big Rapids, MI 49307 | 2012-09-05 |
| 1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
| 1144466822 | Big Rapids Dental Health Care Associates, PC | Dentist | 201 S. Michigan Ave, Big Rapids, MI 49307 | 2008-12-30 |
| 1134379894 | Fred Rodriguez | Hearing Instrument Specialist | 13452 Northland Drive, Big Rapids, MI 49307 | 2008-09-30 |
| 1740447275 | Catholic Charities West Michig | Community/Behavioral Health | 212 1/2 Maple Street, Big Rapids, MI 49307 | 2008-05-21 |
| 1144353905 | Robert R Scharp Dds PC | Dentist | 126 Maple St, Big Rapids, MI 49307 | 2007-03-13 |
| 1558437988 | Kathy Lynn Victor | Dentist | 117 S Warren, Big Rapids, MI 49307 | 2006-11-28 |
| Find all providers in zip 49307 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710531629 | Danielle Marie Sissell | Custodial Care Facility | 20461 Spruce Rd, Big Rapids, MI 49307-9731 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201267 | Living Waters Buell Lake | Custodial Care Facility | 13515 N Genesee Rd, Clio, MI 48420-9190 | 2020-09-29 |
| 1063028694 | Zcare | Custodial Care Facility | 8676 Auburn St, Detroit, MI 48228-2919 | 2020-09-18 |
| 1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | BIG RAPIDS |
| Zip Code | 49307 |
Please comment or provide details below to improve the information on MS. JAYNE ANN GRAHAM.
| 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.