CENTRIA HEALTHCARE (NPI# 1518313246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518313246 |
| Entity Type | Organization |
| Organization Name | CENTRIA HEALTHCARE |
| Practice Address |
1477 Burke Ave Ne Apt B Grand Rapids MI 49505-5366 |
| Practice Telephone | 2482823105 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | REBECKA TODD (BEHAVIOR TECH) |
| Authorized Official Telephone | 2482823105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437603578 | Centria Healthcare | Case Management | 2848 Clement St, Flint, MI 48504-3028 | 2016-08-06 |
| 1306399464 | Centria Healthcare | Case Management | 11310 Balfour Rd, Detroit, MI 48224-1111 | 2016-07-25 |
| 1881046217 | Centria Healthcare | Community/Behavioral Health | 3813 Clotell Dr, Fort Worth, TX 76119-7742 | 2016-07-09 |
| 1144672650 | Centria Healthcare | Technician, Other | 17591 Santa Rosa Dr, Detroit, MI 48221-2644 | 2016-07-08 |
| 1699127621 | Centria Healthcare | Community/Behavioral Health | 11051 Sandy Oak Trl, Cedar Springs, MI 49319-9238 | 2016-07-01 |
| 1669864484 | Centria Healthcare | Case Management | 17361 Prest St, Detroit, MI 48235-3731 | 2015-03-03 |
| 1649677873 | Centria Healthcare | Clinic/Center | 7893 Harding St, Taylor, MI 48180-2535 | 2014-12-03 |
| 1942623871 | Centria Healthcare | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2014-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRIA HEALTHCARE LLC | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 |
| Virginia Business Entities | Centria Healthcare LLC | 27777 Inkster Road, Suite 100, Farmington Hills, Michigan 48334 |
| Colorado Business Entities | Centria Healthcare LLC | 27777 Inkster Rd., Ste. 100, Farmington Hills, MI 48334 |
| Washington State Corporations | CENTRIA HEALTHCARE LLC | 4816 Aurora Ave N, Seattle, WA 98103 |
| Oregon Corporations, Companies and Business Names | CENTRIA HEALTHCARE LLC | 27777 Inkster, Suite 100, Farmington Hills, MI 48334 |
| Indiana Business Entities | CENTRIA HEALTHCARE LLC | 41521 W 11 Mile Rd, Novi, MI 48375 |
| Street Address |
1477 BURKE AVE NE APT B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497103329 | Rebecka Todd | Technician, Other | 1477 Burke Ave Ne Apt B, Grand Rapids, MI 49505-5366 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1497217343 | Tegan Jackson | Technician, Other | 1823 Francis Ave Se, Grand Rapids, MI 49507-2418 | 2019-04-01 |
| 1710442256 | Nancy Higgins | Technician, Other | 4031 Woodland Creek Dr Se Apt 204, Grand Rapids, MI 49512-8330 | 2019-02-08 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1891236626 | Laura Weatherell | Technician, Other | 1192 Edna St Se, Grand Rapids, MI 49507-3707 | 2017-03-13 |
| 1093251696 | Cindy Boersema | Technician, Other | 2184 Woodcliff Ave Se, Grand Rapids, MI 49546-5711 | 2017-01-06 |
| 1669916987 | Andria K Zwerk | Technician, Other | 323 Manzana Ct Nw, 1c, Grand Rapids, MI 49534-8430 | 2016-12-05 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1821548439 | Lyla Whitney | Technician, Other | 2017 Edgewood Ave Ne, Grand Rapids, MI 49505-4217 | 2016-10-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on CENTRIA HEALTHCARE.
| 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.