MS. CHERYL LYNN MATSON (NPI# 1750442455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750442455 |
| Entity Type | Individual |
| Full Name | MS. CHERYL LYNN MATSON |
| Credential | RN |
| Practice Address |
400 Stoddard Rd Richmond MI 48062-2505 |
| Mailing Address |
4731 Van Dyke Rd Cass City MI 48726-9227 |
| Practice Telephone | 8103923481 |
| Mailing Telephone | 9898724468 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 4704163957 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RN | 4704163957 | 01 |
| Street Address |
400 STODDARD RD |
| City | RICHMOND |
| State | MI |
| Zip Code | 48062-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750363305 | Sacred Heart Rehabilitation Center, Inc. | Community/Behavioral Health | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2005-11-18 |
| 1164023578 | Christopher Doan | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-11-03 |
| 1881292316 | Melissa C Glasson | Social Worker | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-10-16 |
| 1861090540 | Theresa Dilaura Strongarone | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-10-14 |
| 1629684915 | Adam C Keller | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-09-22 |
| 1215546304 | James A Johns | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-07-24 |
| 1700403870 | Madeline Burke | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-07-06 |
| 1083231302 | Jennifer Eve-lyn Hoffer | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-07-02 |
| 1134745201 | Chelsey Dianne Elizabeth Carrow | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-06-24 |
| 1508496431 | Alexis Nina Monaco | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184110645 | Lisa Marie Pollauf | Occupational Therapist | 5383 Hessen Rd, Casco, MI 48062 | 2018-07-09 |
| 1073010211 | Alaina Miron | Physical Therapist | Medilodge of Richmond 34901 Division, Richmond, MI 48062 | 2018-04-12 |
| 1841450988 | Thomas Anthony Campbell-cormier | Dentist | 35035 Helze Ln, Richmond Township, MI 48062 | 2008-06-12 |
| 1649438797 | Richmond Physical Therapy Inc | Physical Therapist | 67505 Main Street, Richmond, MI 48062 | 2008-05-27 |
| 1295941391 | John Francis King | Social Worker | 35000 Division, Suite 2, Richmond, MI 48062 | 2007-05-15 |
| 1104963677 | Frank J. Markie | Dentist | 36600 Heritage Dr, Richmond, MI 48062 | 2007-01-31 |
| 1033256508 | Brian J. Pradko | Dentist | 36600 Heritage Dr., Richmond, MI 48062 | 2007-01-31 |
| 1336286897 | Pradko, Gallagher & Slance, Pllc | Dentist | 36600 Heritage Drive, Richmond, MI 48062 | 2007-01-31 |
| 1538215967 | Kenneth Edward Niemi | Dentist | 68720 Main St, Richmond, MI 48062 | 2007-01-26 |
| 1295824068 | Richmond Lenox Ems Ambulance Authority | Public Health or Welfare | 34505 32 Mile Road, Richmond, MI 48062 | 2006-10-12 |
| Find all providers in zip 48062 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1396194346 | Daynetta Bernstine | Substance Abuse Rehabilitation Facility | 311 W Macdonald Ave, Richmond, CA 94801-2965 | 2016-06-10 |
| 1902122799 | Halcyon Womens Center | Substance Abuse Rehabilitation Facility | 6712 Casey Savannah Ln, Richmond, VA 23234-8011 | 2010-04-19 |
| 1407072986 | Neighborhood House of North Richmond | Substance Abuse Rehabilitation Facility | 820 23rd St, Richmond, CA 94804-1338 | 2007-04-17 |
| 1407934672 | Rubicon, Inc | Substance Abuse Rehabilitation Facility | 2825 Rady St, Richmond, VA 23222-4097 | 2006-11-02 |
| 1396399101 | Westcare California, Inc. | Substance Abuse Rehabilitation Facility | 208 23rd St, Richmond, CA 94804-1830 | 2019-07-30 |
| 1164967865 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 | 2017-01-04 |
| 1508300161 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite A, Richmond, IN 47374-2851 | 2016-12-15 |
| 1225419641 | Kerry Vincent | Substance Abuse Rehabilitation Facility | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2015-06-11 |
| Find all providers in RICHMOND | ||||
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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.