ANGEL PATIENT INC. (NPI# 1558984377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558984377 |
| Entity Type | Organization |
| Organization Name | ANGEL PATIENT INC. |
| Practice Address |
12601 E Outer Dr Detroit MI 48224-4204 |
| Practice Telephone | 3139266609 |
| Mailing Telephone | 3139266609 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | COLLEENA JAMES (PRESIDENT) |
| Authorized Official Telephone | 5863069829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Angel Patience | Doing Business As Name - Organization |
| Street Address |
12601 E OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48224-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518428333 | Alternative Adult Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19163 Woodingham Dr, Detroit, MI 48221-1650 | 2019-03-26 |
| 1912481235 | Adrienne Flowers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18403 Kentucky St, Detroit, MI 48221-2029 | 2018-09-21 |
| 1558876904 | Bowers Adult Foster Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 556 Mount Vernon St, Detroit, MI 48202-2524 | 2017-12-07 |
| 1043622970 | Serenity Facility LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18514 Blackmoor St, Detroit, MI 48234-3887 | 2014-05-27 |
| 1831411537 | Christ Child Society of Detroit | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15751 Joy Rd, Detroit, MI 48228-2117 | 2010-02-22 |
| 1790018489 | Derrick Community Development & Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5010 31st St, Detroit, MI 48210-2537 | 2009-09-12 |
| 1730319138 | Robinham Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 803 E Grand Blvd, Detroit, MI 48207-2551 | 2009-07-20 |
| 1730256496 | Cyprian Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4901 Chrysler Dr, Detroit, MI 48201-1462 | 2006-11-29 |
| 1619041183 | Liberal Manor Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 129 Virginia Park St, Detroit, MI 48202-2000 | 2006-11-17 |
| 1891872792 | Wimby Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6045 Kensington Ave, Detroit, MI 48224-2072 | 2006-11-01 |
| 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.