CLEAN HOUSE, INC.


Address: 24750 Swanson Rd, Southfield, MI 48034-5320
Phone: 2483570600

CLEAN HOUSE, INC. (NPI# 1639244734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639244734
Entity Type Organization
Organization Name CLEAN HOUSE, INC.
Practice Address 24750 Swanson Rd
Southfield
MI 48034-5320
Practice Telephone 2483570600
Practice Fax Number 2483575008
Mailing Telephone 2483570600
Mailing Fax Number 2483575008
Enumeration Date 2006-11-22
Last Update Date 2020-08-22
Authorized Official Name DAVID J HOCHBERG (CEO)
Authorized Official Telephone 2485684000
Authorized Official Credential M.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization 631213 MI Agencies

Office Location

Street Address 24750 SWANSON RD
City SOUTHFIELD
State MI
Zip Code 48034-5320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982182382 Margaret Sands-goldstein Art Therapist 24750 Swanson Rd, Southfield, MI 48033-5320 2018-07-30
1588179139 Lourie Ann Davis Social Worker 24750 Swanson Rd, Southfield, MI 48033-5320 2017-12-05
1518408830 Therese Gorski Speech-Language Pathologist 24750 Swanson Rd, Southfield, MI 48033-5320 2017-03-20
1336571751 Julie Moreno Counselor 24750 Swanson Rd, Southfield, MI 48033-5320 2013-08-08
1265864672 Susan Risi Speech-Language Pathologist 24750 Swanson Rd, Southfield, MI 48033-5320 2013-08-07
1124317839 Heather Rose Malcom Music Therapist 24750 Swanson Rd, Southfield, MI 48033-5320 2011-04-04
1003149543 Tbi Solutions Clinic/Center 24750 Swanson Rd, Southfield, MI 48033-5320 2009-09-16
1164655718 Andrea Marie Boswell-burns Specialist 24750 Swanson Rd, Southfield, MI 48033-5320 2009-08-31
1164661112 Sharron Denise Walker Psychologist 24750 Swanson Rd, Southfield, MI 48033-5320 2009-02-16
1124288097 Linda Ann Hornsby Psychologist 24750 Swanson Rd, Southfield, MI 48033-5320 2008-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780219196 I. R. Horn & Associates LLC Community/Behavioral Health 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 2020-03-05
1003378753 Alexis Shivers Physical Therapy Assistant 27500 Lahser Rd, Southfield, MI 48034 2019-04-02
1598257768 El-abbadi Pediatric Clinic Pediatrics 24676 Lahser Road, Southfield, MI 48034 2018-06-04
1689166894 Recore Rehabilitation Services Clinic/Center 25899 W 12 Mile Rd # 340, Southfield, MI 48034 2018-06-04
1578063749 El-abbadi Healthcare Center Clinic/Center 27403 Lahser Rd, Southfield, MI 48034 2018-02-14
1063924819 Diagnostic Hematology, PC Clinical Medical Laboratory 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 2017-11-02
1962929125 Toms Holistic Home Visits Pllc Clinic/Center 28675 Franklin Rd, Suite 217, Southfield, MI 48034 2017-08-28
1265956940 Abbadi Healthcare Pharmacy 27402 Lahser Road, Southfield, MI 48034 2017-08-03
1720517113 Theramedic Home Health Care LLC Home Health 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 2017-06-08
1538695804 Adrienne Rutherford Occupational Therapist 25999 Franklin Pointe Dr, Southfield, MI 48034 2017-05-05
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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881253540 Sears Transportaion, LLC PACE Provider Organization 17800 Northland Park Ct Ste 104b2, Southfield, MI 48075-4304 2019-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992339311 Kelly R Niezurawski PACE Provider Organization 6500 N Hawkins Hwy, Manitou Beach, MI 49253-9736 2020-02-25
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1528549300 Sonja Hunter PACE Provider Organization 14459 Greenview Rd, Detroit, MI 48223-2913 2018-08-28
1639687213 Eastern Grouphome PACE Provider Organization 5770 Eastern Ave Se, Grand Rapids, MI 49508-6281 2018-01-17
1578845095 Comforter Care Agency PACE Provider Organization 4830 Malpaso, Lansing, MI 48917-1554 2011-09-10
1427282136 Jcb Adult Day Services PACE Provider Organization 21500 Greenfield Rd, Suite 201, Oak Park, MI 48237-3009 2009-05-08
1598964926 Finner-williams & Associates PACE Provider Organization 17620 W Mcnichols Rd, Detroit, MI 48235-3327 2007-07-16
1043422660 Progressive Lifestyles, Inc. PACE Provider Organization 2669 Potter Rd, Wixom, MI 48393-1832 2007-05-04
1952918237 Pace Central Michigan PACE Provider Organization 1750 E Bellows St, Mt Pleasant, MI 48858-3872 2020-09-30
1427598713 Community Pace At Home, Inc PACE Provider Organization 231 W Pine Lake Dr, Newaygo, MI 49337-9264 2017-03-06
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Competitor

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City SOUTHFIELD
Zip Code 48034

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Dataset Information

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.

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