LATESA RENAE THOMAS


Address: 11611 Grayton St, Detroit, MI 48224-1643
Phone: 3135564769

LATESA RENAE THOMAS (NPI# 1639636855) 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) 1639636855
Entity Type Individual
Full Name LATESA RENAE THOMAS
Other Name LATESA RENAE ENGRAM
Credential C.N.A
Practice Address 11611 Grayton St
Detroit
MI 48224-1643
Practice Telephone 3135564769
Practice Fax Number 3134738192
Mailing Telephone 3135564769
Mailing Fax Number 3134738192
Enumeration Date 2019-02-24
Last Update Date 2019-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion 230109450998 MI Nursing Service Related Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7762 Rosemont Ave, Detroit, MI 482285426 3136586938

Office Location

Street Address 11611 GRAYTON ST
City DETROIT
State MI
Zip Code 48224-1643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386101574 Yamisha Jackson Adult Companion 11611 Grayton St, Detroit, MI 48224-1643 2019-02-25

Providers in the same zip code

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 Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407412638 Geisha Shanee Burton Adult Companion 8160 E Lantz St, Detroit, MI 48234-3303 2019-05-13
1205323086 Theresa A Akin Adult Companion 20485 Goddard St Apt 102, Detroit, MI 48234-1354 2018-04-17
1114442084 Rhonda Lewis Adult Companion 18603 Mendota St, Detroit, MI 48221-1911 2017-08-11
1275062002 Iyeshia Galloway Adult Companion 5075 Farmbrook St, Detroit, MI 48224-1377 2017-06-06
1386095073 Tabatha M Scott Adult Companion 2823 County Road 1247, Detroit, TX 75436-5113 2016-06-24
1790157774 Shakail Bronta Hill Adult Companion 7729 Clayburn, Detroit, MI 48228 2015-10-29
1972820074 Ardretta Carly Taylor Adult Companion 7750 Montrose St, Detroit, MI 48228-3609 2010-04-28
1386101574 Yamisha Jackson Adult Companion 11611 Grayton St, Detroit, MI 48224-1643 2019-02-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275131112 Kimberly Ann Walker Adult Companion 452 Bay St, Pontiac, MI 48342-1912 2020-10-13
1093346462 Easy Living Assistance Adult Companion 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 2020-02-04
1346883618 Barbara Rodriguez Adult Companion 2295 N Winn Rd, Mount Pleasant, MI 48858-9736 2019-10-19
1407415730 Monesha Maria Moore Adult Companion 29555 Laurel Woods Dr Apt 205, Southfield, MI 48034-4664 2019-06-11
1912470907 Austyn Desean Hollingshed Adult Companion 485 Hustler St, Gwinn, MI 49841-2902 2019-01-02
1437626256 Carrie Lynn Dextrom Adult Companion 9200 W Walker Rd, Manton, MI 49663-9315 2018-10-30
1356876213 Richelle L Daniels Adult Companion 26740 Joy Rd, D11, Redford, MI 48239-1970 2017-04-27
1184095713 David Farzalo Adult Companion 3500 Jennings Rd, Whitmore Lake, MI 48189-9506 2015-10-08
1437526639 Kurt Kazanowski Adult Companion 296 S Main St Ste 203, Plymouth, MI 48170-4256 2015-08-24
1043692064 Lourdes Salinas Adult Companion 1624 Detroit Ave, Lincoln Park, MI 48146-3217 2015-06-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City DETROIT
Zip Code 48224

Improve Information

Please comment or provide details below to improve the information on LATESA RENAE THOMAS.

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.

Trending Searches