U1ST TRANSITIONAL LIVING PROGRAM (NPI# 1588145387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588145387 |
| Entity Type | Organization |
| Organization Name | U1ST TRANSITIONAL LIVING PROGRAM |
| Practice Address |
227 N Winter St Adrian MI 49221-2066 |
| Practice Telephone | 7345066081 |
| Mailing Telephone | 7344741620 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | MS. TAMARIS HENAGAN (CEO) |
| Authorized Official Telephone | 7345066081 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE INCORPORATION | 72026R | 01 |
| Street Address |
227 N WINTER ST |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410596 | Justin S Kroll | Prevention Professional | 1902 13th St, Port Huron, MI 48060-6238 | 2019-11-04 |
| 1932661972 | Vision Quest Recovery LLC | Prevention Professional | 32890 Killewald St, Chesterfield, MI 48047-3308 | 2019-04-01 |
| 1114481868 | Keith P Walters | Prevention Professional | 370 Country Club Rd Ste A, Holland, MI 49423-8303 | 2019-01-28 |
| 1346788866 | Joshua Akers | Prevention Professional | 625 Brogan Rd, Webberville, MI 48892-9226 | 2017-02-03 |
| 1023553385 | Shadorie Anne Ewing | Prevention Professional | 14644 Hubbell St, Detroit, MI 48227-4809 | 2016-12-22 |
| 1033729777 | Kevin Figurski | Prevention Professional | 412 Century Ln, Holland, MI 49423-4285 | 2020-08-07 |
| 1841853009 | Gray Allen Strode | Prevention Professional | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-04-15 |
| 1780163972 | Jennifer Courtney Gail Webb | Prevention Professional | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2018-08-09 |
| 1942737853 | Vicky Avery | Prevention Professional | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2017-05-23 |
| 1134667314 | Alison Pemberton | Prevention Professional | 302 S Main St, Yale, MI 48097-3320 | 2017-02-07 |
| Find all providers with the same taxonomy | ||||
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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.