VIBRA OF SOUTHEASTERN MICHIGAN LLC (NPI# 1508027624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508027624 |
| Entity Type | Organization |
| Organization Name | VIBRA OF SOUTHEASTERN MICHIGAN LLC |
| Other Organization Name | VIBRA OF SOUTHEASTERN MICHIGAN |
| Practice Address |
26400 West Outer Dr Lincoln Park MI 48146-2088 |
| Mailing Address |
5 East River Park Place E #460 Fresno CA 93720-1560 |
| Practice Telephone | 3135946000 |
| Practice Fax Number | 3135946252 |
| Mailing Telephone | 5598922500 |
| Mailing Fax Number | 5598922442 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | MR. CLINT T. FEGAN (SEC/TREAS) |
| Authorized Official Telephone | 7175915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 820130 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 302715477 | 05 |
| Other Name | Type Code |
|---|---|
| Vibra of Southeastern Michigan | Doing Business As Name - Organization |
| Street Address |
26400 WEST OUTER DR |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032209 | Special Care Hospital, LLC | Long Term Care Hospital | 1840 Wealthy St Se Fl 5, Grand Rapids, MI 49506-2921 | 2017-06-09 |
| 1962512863 | Mclaren Bay Special Care | Long Term Care Hospital | 3250 E Midland Rd Ste 1, Bay City, MI 48706-2835 | 2006-08-30 |
| 1801872379 | Scci Hospitals of America Inc. | Long Term Care Hospital | 4777 East Outer Drive, Detroit, MI 48234-3241 | 2005-12-16 |
| 1245230671 | Great Lakes Specialty Hosptial - Hackley LLC | Long Term Care Hospital | 1700 Clinton St, 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502 | 2005-07-28 |
| 1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
| 1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
| 1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
| 1225034895 | Select Specialty Hospital - Battle Creek Inc | Long Term Care Hospital | 300 North Ave, Fl 6, Battle Creek, MI 49017-3307 | 2005-06-28 |
| 1427564855 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 | 2017-12-21 |
| 1538426655 | Henry Ford Health System | Long Term Care Hospital | 2799 West Grand Blvd, Henry Ford Hospital, Detroit, MI 48101-2608 | 2012-04-13 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
Please comment or provide details below to improve the information on VIBRA OF SOUTHEASTERN MICHIGAN LLC.
| 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.