ADVANTAGE HEALTH CENTERS (NPI# 1750723409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750723409 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE HEALTH CENTERS |
| Practice Address |
15400 W Mcnichols Rd Detroit MI 48235-3724 |
| Practice Telephone | 3138355990 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | MRS. PATRICIA SOARES (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 3138294414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 4704278295 | MI | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANTAGE HEALTH CENTERS | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 |
| Street Address |
15400 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710924816 | Maryjean Schenk | Family Medicine | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2006-05-31 |
| 1740826056 | Kendra Shaneth Lowe | Dental Hygienist | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-11-21 |
| 1770147084 | Resha Shrestha | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-04-23 |
| 1508429960 | Ameen A Masoodi | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-04-20 |
| 1528621182 | Julie Cadet | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-04-19 |
| 1659878239 | Zena Abd-alahad | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2018-04-10 |
| 1003325440 | Detroit Health Care for The Homeless | Clinic/Center | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-09-28 |
| 1548789506 | Bhavyata Patel | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-09-11 |
| 1639692320 | Marcie Ann Giammanco | Dental Hygienist | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-07-25 |
| 1740676683 | Patrick Long | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2015-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1295180834 | Natures Natural Mobile Spa | Exclusive Provider Organization | 3008 Marlborough St, Detroit, MI 48215-2536 | 2016-05-02 |
| 1164820171 | Marion Justice | Exclusive Provider Organization | 3041 Bewick St, Detroit, MI 48214-2161 | 2014-12-08 |
| 1922369420 | 1st Choice Care Services LLC | Exclusive Provider Organization | 17208 Littlefield St, Detroit, MI 48235-4111 | 2012-05-31 |
| 1346379492 | City of Detroit | Exclusive Provider Organization | 1151 Taylor St Rm 319b, Detroit, MI 48202-1732 | 2007-03-05 |
| 1023169703 | Community Care Associates | Exclusive Provider Organization | 300 River Place Dr, Suite 2500, Detroit, MI 48207-4457 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333263 | Sisters of Sobriety | Exclusive Provider Organization | 5398 Pierce Rd, Remus, MI 49430 | 2017-05-17 |
| 1013457308 | Affordable Care Consulting, LLC | Exclusive Provider Organization | 28709 Dequinred Rd, Suite 2, Madison Heights, MI 48071 | 2017-03-06 |
| 1548708654 | Mother & Child Mihp of Michigan, Inc. | Exclusive Provider Organization | 1457 South Oakland, St Clair, MI 48079 | 2017-02-09 |
| 1073051264 | Creekside Manor | Exclusive Provider Organization | 17460 12 Mile Rd, Big Rapids, MI 49307-9554 | 2017-02-07 |
| 1144672676 | God's Precious Treasures II | Exclusive Provider Organization | 22805 Goddard Rd, Taylor, MI 48180-4170 | 2016-07-08 |
| 1043662422 | Robin Marie Lepper | Exclusive Provider Organization | 530 W Chicago St, Coldwater, MI 49036-1873 | 2016-07-08 |
| 1427403831 | Intense Holistic Healing Hands | Exclusive Provider Organization | 8245 Valley View Cir Apt 132c, Westland, MI 48185-5511 | 2016-05-04 |
| 1003270026 | Kiss Kissable Kids LLC | Exclusive Provider Organization | 32461 Schoolcraft Rd, Livonia, MI 48150-4300 | 2016-04-06 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1275902132 | Otha Moore | Exclusive Provider Organization | 18430 Westhampton, Southfield, MI 48075 | 2015-09-22 |
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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.