BERNADETA LIS (NPI# 1609252592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609252592 |
| Entity Type | Individual |
| Full Name | BERNADETA LIS |
| Practice Address |
520 Oxford Ct Rochester Hills MI 48307-4527 |
| Practice Telephone | 2489098840 |
| Mailing Telephone | 2489098840 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
520 OXFORD CT |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181042 | Strive Recreational Therapy Services, Inc. | Respite Care | 6751 Dixie Hwy Ste 113, Clarkston, MI 48346-2080 | 2019-02-27 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1922531854 | Andrew A Feher Dds | Respite Care | 11270 E 13 Mile Rd Ste 3, Warren, MI 48093-2599 | 2017-04-07 |
| 1235679960 | Care Within Care Housing, Inc | Respite Care | 11256 Engleside St, Detroit, MI 48205-3210 | 2017-02-28 |
| 1649716804 | Learning and Living, LLC. | Respite Care | 150 Mary Alexander Ct, Northville, MI 48167-1628 | 2017-01-12 |
| 1063956654 | Rainbow Homes Non-profit Housing Corporation | Respite Care | 2111 Adelpha Ave, Holt, MI 48842-1117 | 2016-12-15 |
| 1871036442 | Raysen Care Services | Respite Care | 29040 Tessmer Ct, Madison Heights, MI 48071-2656 | 2016-11-29 |
| 1093186769 | Samira Hamo-oumarou | Respite Care | 23378 Heritage Dr, Woodhaven, MI 48183-3240 | 2015-10-07 |
| 1790189777 | Community Linx | Respite Care | 8291 Rolling Hill Ln, Grand Ledge, MI 48837-9251 | 2014-10-20 |
| 1801224613 | The Carter Institute for Gifted Children | Respite Care | 24518 Harper Ave, Saint Clair Shores, MI 48080-1238 | 2013-10-15 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on BERNADETA LIS.
| 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.