METROPOLITAN DETROIT CENTER FOR INDEPENDENT LIVING (NPI# 1720564651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720564651 |
Entity Type | Organization |
Organization Name | METROPOLITAN DETROIT CENTER FOR INDEPENDENT LIVING |
Other Organization Name | DISABILITY NETWORK WAYNE COUNTY DETROIT |
Practice Address |
5555 Conner St Detroit MI 48213-3448 |
Practice Telephone | 3139231655 |
Mailing Telephone | 3139231655 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |
Authorized Official Name | MS. LORI HILL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3139231655 |
Authorized Official Credential | MA. LLPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | Agencies |
Other Name | Type Code |
---|---|
Disability Network Wayne County Detroit | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | METROPOLITAN DETROIT CENTER FOR INDEPENDENT LIVING | 5555 Conner St Ste 2224, Detroit, MI 48213-3495 |
Street Address |
5555 CONNER ST |
City | DETROIT |
State | MI |
Zip Code | 48213-3448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245237551 | Mary L Serowoky | Nurse Practitioner | 5555 Conner St, St 2691, Detroit, MI 48213-3448 | 2005-06-30 |
1902422751 | Dhaara Antani | Dietitian, Registered | 5555 Conner St, Detroit, MI 48213-3448 | 2020-06-17 |
1164066643 | Bethany J. Howard | Case Manager/Care Coordinator | 5555 Conner St, Detroit, MI 48213-3448 | 2019-10-29 |
1699234153 | Madison Community Hospital Inc | Nurse Practitioner | 5555 Conner St, Detroit, MI 48213-3448 | 2019-03-14 |
1700357563 | Ashley Henninger | Speech-Language Pathologist | 5555 Conner St, Detroit, MI 48213-3448 | 2018-12-05 |
1386158962 | Sharon Diane Fowler | Counselor | 5555 Conner St, Detroit, MI 48213-3448 | 2017-11-19 |
1346605847 | Shannon Crumbley | In Home Supportive Care | 5555 Conner St, 2079c, Detroit, MI 48213-3448 | 2015-12-28 |
1083080121 | Sonya Shelman | Social Worker | 5555 Conner St, Detroit, MI 48213-3448 | 2015-08-12 |
1629450960 | Marquetta Turner | Social Worker | 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 | 2015-06-23 |
1912317975 | Emerging Industries Training Institute, Inc. | Non-emergency Medical Transport (VAN) | 5555 Conner St, Suite 1600, Detroit, MI 48213-3448 | 2014-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
Find all providers in zip 48213 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750944609 | Empowered Living Services | Case Management | 18100 Meyers Rd, Detroit, MI 48235-1493 | 2019-04-17 |
1609350677 | The Demarco Project | Case Management | 100 Riverfront Dr Fl 3, Detroit, MI 48226-4500 | 2018-09-17 |
1346748746 | Parents and Children Together | Case Management | 18426 Wildemere St, Detroit, MI 48221-2213 | 2018-01-31 |
1811401771 | Travelers Aid Society Metropolitan Detroit | Case Management | 65 Cadillac Sq Ste 3000, Detroit, MI 48226-2880 | 2017-11-29 |
1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
1558802991 | Whincare | Case Management | 3851 W Kirby St, Detroit, MI 48208-1448 | 2017-03-18 |
1982143384 | Strategic Operation Solutions | Case Management | 407 E. Fort St., Suite 407, Detroit, MI 48226 | 2017-02-17 |
1639616956 | Fanning Casemanagement Services LLC | Case Management | 19456 Strathmoor St, Detroit, MI 48235-1919 | 2017-01-24 |
1477005924 | Pr Kids | Case Management | 18223 Mcintyre St, Detroit, MI 48219-2366 | 2016-11-01 |
1114478229 | Impact Community Health | Case Management | 16200 Rosemont Ave, Detroit, MI 48219-4168 | 2016-10-24 |
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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.