KAIROS HEALTHCARE INCORPORATED (NPI# 1750457958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750457958 |
| Entity Type | Organization |
| Organization Name | KAIROS HEALTHCARE INCORPORATED |
| Practice Address |
20400 Superior Rd Taylor MI 48180-5362 |
| Mailing Address |
6379 Dixie Hwy Bridgeport MI 48722-9566 |
| Practice Telephone | 7343742400 |
| Practice Fax Number | 7343748360 |
| Mailing Telephone | 9897774357 |
| Mailing Fax Number | 9897777257 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | MR. FRED E. WIGEN JR. (PRESIDENT CEO) |
| Authorized Official Telephone | 9897774357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 823011 | MI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
823011 | MI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 823011 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417023607 | Kairos Healthcare Incorporated | Substance Abuse Rehabilitation Facility | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2006-11-28 |
| 1427162239 | Kairos Healthcare Incorporated | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722-9566 | 2006-08-18 |
| 1184758435 | Kairos Healthcare Incorporated | Social Worker | 6379 Dixie Hwy, Bridgeport, MI 48722-9566 | 2007-03-16 |
| 1174690648 | Kairos Healthcare Incorporated | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2006-11-29 |
| Street Address |
20400 SUPERIOR RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306944848 | The Information Center, Inc., The Family Resource Place | Case Management | 20400 Superior Rd, The Information Center, Taylor, MI 48180-5362 | 2006-09-20 |
| 1851585954 | Jacquetta K. Chapman | Counselor | 20400 Superior Rd, Taylor, MI 48180-5362 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831596022 | Virginia Young-hicks | Social Worker | 22243 Kinyon St, Taylor, MI 48180-3698 | 2014-12-03 |
| 1295071132 | Donna Lynn Moore | Social Worker | 9409 W Pickwick Cir, Taylor, MI 48180-3860 | 2012-12-21 |
| 1437439650 | Stephanie Qiana-monet Cunningham | Social Worker | 26114 Continental Cir, Taylor, MI 48180-3107 | 2011-08-18 |
| 1558693903 | Roary Xavier Green | Social Worker | 11202 Brydan St, Apt 6, Taylor, MI 48180-6240 | 2010-02-10 |
| 1295908820 | Debra Kaye Garner | Social Worker | 26650 Eureka Rd Ste C, Taylor, MI 48180-4835 | 2008-04-03 |
| 1124049986 | Vanessa Maria Lewis | Social Worker | 20600 Eureka, Taylor, MI 48180 | 2006-07-21 |
| 1144853011 | Derhonda L Williams-kennedy | Social Worker | 26650 Eureka Rd Ste A, Taylor, MI 48180-4835 | 2020-02-19 |
| 1164945739 | Tamesha Scott | Social Worker | 26650 Eureka Rd Ste A, Taylor, MI 48180-4835 | 2017-07-25 |
| 1164979183 | Stephanie Preston | Social Worker | 26650 Eureka Rd, Taylor, MI 48180-4835 | 2016-09-07 |
| 1154780641 | Angel Ouza Bazzi | Social Worker | 9333 Telegraph Rd, Suite 200, Taylor, MI 48180-3386 | 2016-02-12 |
| Find all providers in TAYLOR | ||||
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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.