DETRA DAVIE (NPI# 1811340896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811340896 |
| Entity Type | Individual |
| Full Name | DETRA DAVIE |
| Practice Address |
23161 Sussex St Oak Park MI 48237-2495 |
| Practice Telephone | 3136587300 |
| Mailing Telephone | 3136587300 |
| Mailing Fax Number | 2488086628 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | AS630283826 | MI | Nursing Service Related Providers |
| Street Address |
23161 SUSSEX ST |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1659981819 | Angela Renee Anderson | Home Health Aide | 23410 Sussex St, Oak Park, MI 48237-2438 | 2020-08-03 |
| 1164048690 | Rene Goupayou | Home Health Aide | 12921 Oak Park Blvd, Oak Park, MI 48237-2126 | 2020-06-20 |
| 1215412515 | Centre Hrw Inc | Home Health Aide | 23450 Oneida St, Oak Park, MI 48237-2242 | 2018-10-02 |
| 1376053173 | Bartholomew Ogbnonnia Ajulufoh | Home Health Aide | 23580 Oneida St, Oak Park, MI 48237-3700 | 2017-10-05 |
| 1851750228 | Amanda Clay | Home Health Aide | 23620 Cloverlawn St, Oak Park, MI 48237-2462 | 2016-02-15 |
| 1497136634 | Angela Taylor | Home Health Aide | 10710 Saratoga St, Oak Park, MI 48237-3928 | 2015-06-13 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1134305824 | Select Comfort Home Healthcare Service | Home Health Aide | 22821 Manistee Street, Oak Park, MI 48237-2971 | 2008-01-14 |
| 1952703969 | Marc Montgomery | Home Health Aide | 1108 Linden Ave, Oak Park, IL 60302-1243 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881432 | Sheila Japoniceker Womack | Home Health Aide | 23328 Beechwood Ave, Eastpointe, MI 48021-3549 | 2020-11-08 |
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1902407596 | Mishari Denise Ryan | Home Health Aide | 1190 River Valley Dr Apt 4, Flint, MI 48532-2960 | 2020-11-02 |
| 1386244242 | Athens Home Care Solutions LLC | Home Health Aide | 215 W Burr Oak, Athens, MI 49011-9731 | 2020-10-29 |
| 1700484037 | Kaelah Alexander | Home Health Aide | 17800 Northland Park Ct Ste 103b, Southfield, MI 48075-4304 | 2020-10-09 |
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1548875578 | Shenise Renee Jones | Home Health Aide | 15433 Auburn St, Detroit, MI 48223-1764 | 2020-09-15 |
| 1396350336 | Molly D Schichtel | Home Health Aide | 4234 Cascade Rd Se Ste 3, Grand Rapids, MI 49546-8384 | 2020-09-15 |
| 1073128815 | Charmaine Tate | Home Health Aide | 32144 Woody, Fraser, MI 48026-2126 | 2020-09-09 |
| 1487268280 | Shaquisha N Allen | Home Health Aide | 9072 Stahelin Ave, Detroit, MI 48228-1715 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.