THOMAS GORDON (NPI# 1780007401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780007401 |
| Entity Type | Individual |
| Full Name | THOMAS GORDON |
| Practice Address |
102 Kercheval Ave Ste 100 Grosse Pointe Farms MI 48236-3660 |
| Practice Telephone | 3137949036 |
| Practice Fax Number | 3137949039 |
| Mailing Telephone | 3137949036 |
| Mailing Fax Number | 3137949039 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508317363 | Thomas W Gordon | Counselor | 107 Mineral Springs Rd, Highland Mills, NY 10930-6228 | 2016-10-17 |
| 1992864185 | Thomas James Gordon | Obstetrics & Gynecology | 320 Fulton St E, Grand Rapids, MI 49503-4302 | 2006-12-06 |
| 1023181062 | Thomas Vincent Gordon | Optometrist | 195 Roosevelt Trail, South Casco, ME 04077-0200 | 2006-11-16 |
| 1770069916 | Thomas Gordon | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-07-11 |
| 1356869473 | Thomas William Gordon | Military Health Care Provider | 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2017-09-08 |
| 1740646108 | Thomas Gordon | Physical Therapy Assistant | 625 Walnut St, Mckeesport, PA 15132-2806 | 2016-01-14 |
| 1114092699 | Thomas Anthony Gordon | Dentist | 8605 Camino Media, Suite. 100, Bakersfield, CA 93311-1355 | 2006-11-21 |
| Street Address |
102 KERCHEVAL AVE STE 100 |
| City | GROSSE POINTE FARMS |
| State | MI |
| Zip Code | 48236-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401458 | Southeastern Michigan Homecare Solutions, Inc | In Home Supportive Care | 102 Kercheval Ave Ste 100, Grosse Pointe Farms, MI 48236-3660 | 2014-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871945782 | Pointe Care Services, Inc. | In Home Supportive Care | 341 Hillcrest Ave, Grosse Pointe Farms, MI 48236-3117 | 2016-07-05 |
| 1720401458 | Southeastern Michigan Homecare Solutions, Inc | In Home Supportive Care | 102 Kercheval Ave Ste 100, Grosse Pointe Farms, MI 48236-3660 | 2014-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
| 1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
| 1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
| 1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE FARMS |
| Zip Code | 48236 |
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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.