SPECIAL TREE REHABILITATION SERVICES LTD (NPI# 1649877986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649877986 |
| Entity Type | Organization |
| Organization Name | SPECIAL TREE REHABILITATION SERVICES LTD |
| Practice Address |
10909 Hannan Rd Romulus MI 48174-1383 |
| Mailing Address |
16018 S Huron River Dr Romulus MI 48174-3619 |
| Practice Telephone | 7348931000 |
| Mailing Telephone | 7348931164 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | IRENE SLOAN (COMPLIANCE ADMINISTRATOR) |
| Authorized Official Telephone | 7348931014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773281 | Special Tree Rehabilitation Services Ltd | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2006-06-03 |
| Street Address |
10909 HANNAN RD |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773281 | Special Tree Rehabilitation Services Ltd | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2006-06-03 |
| 1306443742 | Special Tree Neuro Care Center | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
| 1922655869 | Emilie Herpick | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1740837681 | Kristin Overweg Claerhout | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1629517701 | Special Tree Laboratory Service, LLC | Clinical Medical Laboratory | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2017-02-22 |
| 1639620024 | Jessica Hurlston | Psychologist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-10-20 |
| 1346695202 | Southeast Michigan Physicians Group | Specialist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-04-28 |
| 1851790414 | Denise Farris | Technician, Pathology | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-08-20 |
| 1114330263 | Ursula Kotzabassi | Occupational Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-06-06 |
| 1114367737 | Susan Mclaren | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2013-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
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| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740446566 | Henry's Inc. | Residential Treatment Facility, Physical Disabilities | 30935 Pennsylvania Rd, Romulus, MI 48174-9215 | 2008-07-31 |
| 1710063268 | Special Tree Residential Services Inc. | Residential Treatment Facility, Physical Disabilities | 39000 Chase St, Romulus, MI 48174-1303 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173017 | Newport Care Center | Residential Treatment Facility, Physical Disabilities | 22977 Newport St, Southfield, MI 48075-5850 | 2019-03-19 |
| 1104352285 | Tukeisha Snedecar | Residential Treatment Facility, Physical Disabilities | 19210 Conley St, Detroit, MI 48234-2276 | 2017-05-10 |
| 1760925556 | Connect Care Network Inc. | Residential Treatment Facility, Physical Disabilities | 19761 Annott St, Detroit, MI 48205-1603 | 2016-11-28 |
| 1750832564 | First Door, LLC | Residential Treatment Facility, Physical Disabilities | 25584 W 10 Mile Rd, Southfield, MI 48033-4826 | 2016-10-17 |
| 1306390737 | Nikeyla Blakeney | Residential Treatment Facility, Physical Disabilities | 15384 Freeland St, Detroit, MI 48227-2911 | 2016-08-15 |
| 1558815068 | Charlie Hudson | Residential Treatment Facility, Physical Disabilities | 15831 Woodworth, Redford, MI 48239-3970 | 2016-08-12 |
| 1801249222 | Cm Org | Residential Treatment Facility, Physical Disabilities | 7621 Parkland, Detroit, MI 48239-1031 | 2016-07-20 |
| 1548635618 | Milad Jabow | Residential Treatment Facility, Physical Disabilities | 5126 Allison Dr, Troy, MI 48085-3468 | 2015-12-01 |
| 1831568500 | Expert Enterprises | Residential Treatment Facility, Physical Disabilities | 18453 Woodingham Dr Uppr, Detroit, MI 48221-2155 | 2015-09-23 |
| 1396113767 | Ltss Inc | Residential Treatment Facility, Physical Disabilities | 3801 S 39 Rd, Cadillac, MI 49601-9126 | 2015-09-02 |
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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.