METROPOLITAN DETROIT CENTER FOR INDEPENDENT LIVING


Address: 5555 Conner St, Detroit, MI 48213-3448
Phone: 3139231655

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Provider/Organization Names

Other Name Type Code
Disability Network Wayne County Detroit Doing Business As Name - Organization

Other Data Sources

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

Office Location

Street Address 5555 CONNER ST
City DETROIT
State MI
Zip Code 48213-3448

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City DETROIT
Zip Code 48213

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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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