PURELAND HEALTH CENTER LLC (NPI# 1740747799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740747799 |
Entity Type | Organization |
Organization Name | PURELAND HEALTH CENTER LLC |
Practice Address |
31700 Van Dyke Ave Warren MI 48093-7949 |
Practice Telephone | 6168227178 |
Mailing Telephone | 6168227178 |
Enumeration Date | 2019-02-26 |
Last Update Date | 2019-02-26 |
Authorized Official Name | LINCOLN ABRAHAM (DIRECTOR) |
Authorized Official Telephone | 6168227178 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
31700 VAN DYKE AVE |
City | WARREN |
State | MI |
Zip Code | 48093-7949 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699773242 | Vaishali Mody | Internal Medicine | 31700 Van Dyke Ave, Warren, MI 48093-7949 | 2005-07-08 |
1760029581 | Healthland Housecall Services LLC | Nurse Practitioner | 31700 Van Dyke Ave, Warren, MI 48093-7949 | 2019-12-01 |
1720643893 | Midwest Multispecialty Institute Pllc | Chiropractor | 31700 Van Dyke Ave, Warren, MI 48093-7949 | 2019-05-04 |
1043500838 | Mark Bomia | Pharmacist | 31700 Van Dyke Ave, Suite 190, Warren, MI 48093-7949 | 2011-04-13 |
1598084980 | St John Dynamic Spine Center | Physical Medicine & Rehabilitation | 31700 Van Dyke Ave, Suite 160, Warren, MI 48093-7949 | 2010-05-25 |
1972734317 | Martin I. Schock, Md PC | Clinic/Center | 31700 Van Dyke Ave, Suite 110, Warren, MI 48093-7949 | 2009-08-03 |
1255513891 | Warren Urgent Care PC | Clinic/Center | 31700 Van Dyke Ave, Warren, MI 48093-7949 | 2007-12-05 |
1881740371 | Bonnie Ann Sysling-salvador | Pharmacist | 31700 Van Dyke Ave, Warren, MI 48093-7949 | 2007-01-26 |
1316098049 | Brenda Michele Porter | Physical Therapist | 31700 Van Dyke Ave, Suite 160, Warren, MI 48093-7949 | 2007-01-16 |
1194874073 | Judith Adele Harris | Physical Therapist | 31700 Van Dyke Ave, Suite 160, Warren, MI 48093-7949 | 2007-01-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1043496003 | Gailes Chiropractic Inc. | Clinic/Center | 176 Child St, Warren, RI 02885-2763 | 2008-01-21 |
1366702755 | St John Providence Partners In Care | Clinic/Center | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
1174778872 | Ramamurthy N.alam Md,inc | Clinic/Center | 1910 E Market St, Warren, OH 44483-6618 | 2008-11-21 |
1942452412 | Concentra Health Services, Inc. | Clinic/Center | 11569 East Twelve Mile Road, Warren, MI 48093-2645 | 2008-10-16 |
1851543326 | Concentra Health Services, Inc. | Clinic/Center | 14061 13 Mile Road, Suite 1, Warren, MI 48088-5866 | 2008-10-16 |
1013106467 | Warren Family Medical, Inc. | Clinic/Center | 8700 E Market St, Suite 4, Warren, OH 44484-2340 | 2007-10-22 |
1952343790 | Warren General Hospital | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2006-06-12 |
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1346866167 | God's Path Community Services | Clinic/Center | 2500 Lemay St, Detroit, MI 48214-3146 | 2020-06-17 |
1487280681 | Aml Medical Pllc | Clinic/Center | 16584 Westbrook St, Detroit, MI 48219-3870 | 2020-03-19 |
1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
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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.