HOLLIE GILMORE (NPI# 1558400846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558400846 |
| Entity Type | Individual |
| Full Name | HOLLIE GILMORE |
| Credential | CTRS |
| Practice Address |
15000 Gratiot Ave Detroit MI 48205-1973 |
| Mailing Address |
28040 Grobbel Ave Warren MI 48092-2624 |
| Practice Telephone | 3132450600 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 53688 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15000 GRATIOT AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48205-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033108832 | Triangle Industries Inc | Psychiatric Hospital | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2005-10-14 |
| 1033728613 | Sierra Gillis | Psychologist | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2020-07-29 |
| 1992348197 | Edward Roberts Pllc | Psychiatry & Neurology | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2019-10-21 |
| 1326563263 | Laurie Clemons | Counselor | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2017-08-11 |
| 1235532862 | Lea Ann Martinico | Social Worker | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2014-09-26 |
| 1639415417 | Nichole Hawk | Counselor | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2012-12-23 |
| 1760799183 | Mary Diane Junglas | Counselor | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2010-09-07 |
| 1275857658 | Bca of Detroit, LLC | Clinic/Center | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2010-03-15 |
| 1699926113 | Bca of Detroit, LLC | Clinic/Center | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2008-10-02 |
| 1043492689 | Saratoga Urgent Care PC | Clinic/Center | 15000 Gratiot Ave, Suite 100, Detroit, MI 48205-1973 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
| 1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
| 1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
| 1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
| 1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
| 1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
| Find all providers in zip 48205 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792490 | Shontae Latrice Miller | Recreation Therapist | 19733 Annchester Rd, Detroit, MI 48219-2191 | 2019-04-15 |
| 1437396819 | Brandon Clinton Allen | Recreation Therapist | 12091 Sorrento St, Detroit, MI 48227-3751 | 2009-01-07 |
| 1255430674 | Silva A. Karapetian | Recreation Therapist | John D. Dingell Va Medical Center, 4646 John R. St, 553/11g-pm, Detroit, MI 48201 | 2006-09-22 |
| 1295202224 | Angela Elizabeth Scarponi | Recreation Therapist | 2925 Russell St, Detroit, MI 48207-4825 | 2018-10-29 |
| 1013491273 | Bridget Myke | Recreation Therapist | 2925 Russell St, Detroit, MI 48207-4825 | 2018-09-23 |
| 1689835126 | Marvin John Theile | Recreation Therapist | 4646 John R St, Detroit, MI 48201-1916 | 2008-06-18 |
| 1508915505 | Starr Rebecca Caruthers | Recreation Therapist | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2007-01-09 |
| 1669521613 | Carrie Elaine Nance | Recreation Therapist | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
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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.