RIVERVIEW LIFELINE CENTER PLLC (NPI# 1528130325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528130325 |
| Entity Type | Organization |
| Organization Name | RIVERVIEW LIFELINE CENTER PLLC |
| Practice Address |
7633 East Jefferson Ave Detroit MI 48214 |
| Mailing Address |
22201 Moross Rd Detroit MI 48236-2169 |
| Practice Telephone | 8473882032 |
| Practice Fax Number | 8473882020 |
| Mailing Telephone | 8473882032 |
| Mailing Fax Number | 8473882020 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RAFAL OBRZUT (CODING MANAGER) |
| Authorized Official Telephone | 8473882032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
7633 EAST JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689172553 | Senora King | Specialist | 7824 Artesian St, Detroit, MI 48228-3376 | 2018-01-25 |
| 1134526437 | Pierre E Vinson | Specialist | 200 Mount Elliott St Ste 111, Detroit, MI 48207-4466 | 2014-12-02 |
| 1316348865 | Lamika Riley | Specialist | 18320 W Mcnichols Rd, Detroit, MI 48219-4162 | 2014-09-15 |
| 1659622017 | Extraordinary Medical Billing&consultant Services | Specialist | 19964 Rogge St, Detroit, MI 48234-3031 | 2012-09-26 |
| 1144588450 | Jessica Jensine Noles | Specialist | 14211 Northlawn St, Detroit, MI 48238-2434 | 2012-04-25 |
| 1770803496 | Cassandra Boggon | Specialist | 16203 Wyoming St, Detroit, MI 48221-3417 | 2010-06-03 |
| 1104089499 | Muwaffak Mohammad Abdulhak | Specialist | 2799 West Grand Blvd. K-11, Henry Ford Hospital, Detroit, MI 48202 | 2008-07-07 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1962674028 | House-call Service, Inc. | Specialist | 19455 Kentfield St, Detroit, MI 48219-2013 | 2008-03-29 |
| 1558530030 | Samir R. Yahia Md,p.c | Specialist | 22151 Moross Rd Bldg 1, Suite 335, Detroit, MI 48236-2167 | 2008-02-28 |
| Find all providers in DETROIT | ||||
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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.