MS. NIKKI ELIZABETH BROWDER (NPI# 1629574850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629574850 |
Entity Type | Individual |
Full Name | MS. NIKKI ELIZABETH BROWDER |
Practice Address |
19211 Anglin St Detroit MI 48234-1460 |
Mailing Address |
3453 Courville St Detroit MI 48224-2702 |
Practice Telephone | 3132630077 |
Mailing Telephone | 3138287696 |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-04-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | Managed Care Organizations | ||
N | 225CX0006X |
Rehabilitation Counselor Specialization: Orientation and Mobility Training Provider |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 381459371 | 05 |
Street Address |
19211 ANGLIN ST |
City | DETROIT |
State | MI |
Zip Code | 48234-1460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922005420 | Americare Acquisition Corporation | Skilled Nursing Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2005-06-30 |
1780216069 | Ernest James Brown | Counselor | 19211 Anglin St, Detroit, MI 48234-1460 | 2020-02-05 |
1689179152 | Latanya Patrice Lloyd | Counselor | 19211 Anglin St, Detroit, MI 48234-1460 | 2018-03-27 |
1568840114 | Tonia Gladney | Case Manager/Care Coordinator | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-05-15 |
1437536802 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-05-05 |
1093106106 | Sabrina Taylor | Counselor | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-02-11 |
1891058046 | Kelly Devonne Myricks | Substance Abuse Rehabilitation Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2012-06-22 |
1780918011 | Robert Marks | Counselor | 19211 Anglin St, Detroit, MI 48234-1460 | 2009-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
Find all providers in zip 48234 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1295277663 | Oceansblue 24 Hr Home Care 4 | Point of Service | 15336 Washburn St, Detroit, MI 48238-1662 | 2016-11-16 |
1962801373 | Pharmor Pharmacy Evergreen | Point of Service | 20250 West 7 Mile Road, Detroit, MI 48219 | 2014-08-21 |
1861730467 | Currie Adult Day Care | Point of Service | 16551 E Warren Ave, Detroit, MI 48224-2742 | 2013-01-17 |
1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
1407000565 | International Deliverance Center Cdc | Point of Service | 7200 Harper Ave, Detroit, MI 48213-2404 | 2008-11-14 |
1881891356 | Gateway Community Health | Point of Service | 3011 W Grand Blvd Fl 20, Suite 2000, Detroit, MI 48202-3022 | 2007-06-28 |
1174992796 | Warren Medical and Therapy Center, LLC | Point of Service | 15841 W Warren Ave, #37, Detroit, MI 48228-3737 | 2015-09-24 |
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1376059238 | Special Driving Services, Inc. | Point of Service | 3945 Okemos Rd Ste A5, Okemos, MI 48864-4207 | 2017-12-14 |
1093228124 | Khidmah LLC | Point of Service | 9315 Joseph Campau St, Hamtramck, MI 48212-3433 | 2017-11-11 |
1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
1083159545 | Marley Gannon Pagel Lmsw, Acsw, LLC | Point of Service | 474 Iris Ln, Saline, MI 48176-9092 | 2016-12-19 |
1720434384 | Kelly Mcclain | Point of Service | 2125 Denwood Ave Sw, Wyoming, MI 49509-1962 | 2016-05-12 |
1902266356 | Central Michigan Care | Point of Service | 798 S Whiteville Rd, Mt Pleasant, MI 48858-8776 | 2016-02-28 |
1073982070 | Bellis | Point of Service | 33037 Grand River Ave, Farmington, MI 48336-3119 | 2015-09-20 |
1740666098 | Nariman Shamoon | Point of Service | 14585 Sparrow Dr, Shelby Township, MI 48315-5042 | 2015-08-09 |
1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
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.