MRS. JULIE ANN HEACOCK (NPI# 1740476779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740476779 |
| Entity Type | Individual |
| Full Name | MRS. JULIE ANN HEACOCK |
| Practice Address |
1631 S Allen Rd Saint Clair MI 48079-3303 |
| Mailing Address |
3501 N River Rd 110f Fort Gratiot MI 48059-4159 |
| Practice Telephone | 8103299119 |
| Mailing Telephone | 8109669053 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
1631 S ALLEN RD |
| City | SAINT CLAIR |
| State | MI |
| Zip Code | 48079-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548708654 | Mother & Child Mihp of Michigan, Inc. | Exclusive Provider Organization | 1457 South Oakland, St Clair, MI 48079 | 2017-02-09 |
| 1467832568 | Hailey Davis | Speech-Language Pathologist | 5228 Davis Rd, Saint Clair, MI 48079 | 2015-06-03 |
| 1912202144 | Nancy Susan Harrar | Pharmacist | 1167 S. Carney, St. Clair, MI 48079 | 2011-01-19 |
| 1811136393 | Thompson & Schroyer Dds PC | Dentist | 201 N. Riverside, Suite E2a, St. Clair, MI 48079 | 2009-02-06 |
| 1467620831 | Gary D Schroyer | Dentist | 201 N Riverside, Suite E2a, St Clair, MI 48079 | 2008-02-19 |
| 1902941537 | Carol Allen | Optometrist | 201 North Riverside Ave, E9, St Clair, MI 48079 | 2007-02-21 |
| 1730264995 | St Clair Eye Pllc | Optometrist | 1921 Fred Moore Hwy, St Clair, MI 48079 | 2006-10-26 |
| 1700970381 | Carol Jean Kesterke | Counselor | 132 Trumbull, St. Clair, MI 48079 | 2006-10-03 |
| 1629088679 | Nancy H Marshall | Psychiatry & Neurology | 132 Trumbull Street, St Clair, MI 48079 | 2006-08-09 |
| 1568423689 | Robert Reisig Dds PC | Dentist | 1820 Sinclair St, Suite B, St Clair, MI 48079 | 2006-03-29 |
| Find all providers in zip 48079 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| 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] |
| 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 |
| 1407412638 | Geisha Shanee Burton | Adult Companion | 8160 E Lantz St, Detroit, MI 48234-3303 | 2019-05-13 |
| 1639636855 | Latesa Renae Thomas | Adult Companion | 11611 Grayton St, Detroit, MI 48224-1643 | 2019-02-24 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR |
| Zip Code | 48079 |
Please comment or provide details below to improve the information on MRS. JULIE ANN HEACOCK.
| 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.