HUBERT MAYBERRY (NPI# 1720472681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720472681 |
Entity Type | Individual |
Full Name | HUBERT MAYBERRY |
Practice Address |
19436 Packard St Detroit MI 48234-3195 |
Practice Telephone | 3132316049 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2015-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
19436 PACKARD ST |
City | DETROIT |
State | MI |
Zip Code | 48234-3195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942694880 | Bernard Mccoy | Community Health Worker | 19436 Packard St, Detroit, MI 48234-3195 | 2015-03-27 |
1184150161 | Alicia Simmons | Case Manager/Care Coordinator | 19436 Packard St, Detroit, MI 48234-3195 | 2017-05-11 |
1528500287 | Deonta Simmons | Case Manager/Care Coordinator | 19436 Packard St, Detroit, MI 48234-3195 | 2016-11-12 |
1790227999 | Vernon Bryan | Peer Specialist | 19436 Packard St, Detroit, MI 48234-3195 | 2016-11-06 |
1396196960 | Keith Oneal Stringer | Peer Specialist | 19436 Packard St, Detroit, MI 48234-3195 | 2016-06-24 |
1487029575 | Jessie Camacho Jr. | Peer Specialist | 19436 Packard St, Detroit, MI 48234-3195 | 2015-12-01 |
1073987384 | Casaundra Simmons | Case Manager/Care Coordinator | 19436 Packard St, Detroit, MI 48234-3195 | 2015-11-24 |
1265826119 | Marshall Bolden | Peer Specialist | 19436 Packard St, Detroit, MI 48234-3195 | 2015-03-27 |
1902290844 | Alexis Hunter | Specialist | 19436 Packard St, Detroit, MI 48234-3195 | 2015-03-27 |
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 | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891321345 | Rosie F Beasley | Driver | 4458 Grayton St, Detroit, MI 48224-4006 | 2020-03-17 |
1437781242 | Candice Denise Pointer | Driver | 20518 W Warren Ave, Detroit, MI 48228-3243 | 2020-02-10 |
1235783077 | Joi J Grier | Driver | 3347 Medbury St, Detroit, MI 48211-3045 | 2019-07-30 |
1598319469 | Arnel Eatmon | Driver | 18011 Joseph Campau St, Detroit, MI 48234-1563 | 2019-07-30 |
1700448834 | Tina L Pace | Driver | 14077 Faircrest St, Detroit, MI 48205-2807 | 2019-06-28 |
1255804258 | Kundwani H Kyer | Driver | 18450 Edinborough Rd, Detroit, MI 48219-2862 | 2019-01-02 |
1073028890 | Lakeshore Medical Transport and Supply | Driver | 11450 Minden St, Detroit, MI 48205-3763 | 2017-12-04 |
1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
1043759442 | Jennifer Curtis | Driver | 20410 Terrell St, Detroit, MI 48234-3209 | 2017-02-17 |
1972042646 | Tyree Williams | Driver | 19630 Stratford Rd, Detroit, MI 48221-3500 | 2017-02-14 |
Find all providers in DETROIT |
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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.