DENISE FARRIS (NPI# 1851790414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851790414 |
| Entity Type | Individual |
| Full Name | DENISE FARRIS |
| Practice Address |
10909 Hannan Rd Romulus MI 48174-1383 |
| Mailing Address |
22240 Wyman St Detroit MI 48219-3869 |
| Practice Telephone | 7348391000 |
| Mailing Telephone | 3137399517 |
| Mailing Fax Number | 3135370557 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
190326120033 | MI | Technologists, Technicians & Other Technical Service Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
190326120033 | MI | Nursing Service Related Providers |
| Street Address |
10909 HANNAN RD |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773281 | Special Tree Rehabilitation Services Ltd | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2006-06-03 |
| 1649877986 | Special Tree Rehabilitation Services Ltd | Residential Treatment Facility, Physical Disabilities | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
| 1306443742 | Special Tree Neuro Care Center | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
| 1922655869 | Emilie Herpick | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1740837681 | Kristin Overweg Claerhout | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1629517701 | Special Tree Laboratory Service, LLC | Clinical Medical Laboratory | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2017-02-22 |
| 1639620024 | Jessica Hurlston | Psychologist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-10-20 |
| 1346695202 | Southeast Michigan Physicians Group | Specialist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-04-28 |
| 1114330263 | Ursula Kotzabassi | Occupational Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-06-06 |
| 1114367737 | Susan Mclaren | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| Find all providers in zip 48174 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013390186 | Barbara Latham | Technician | 7980 Amber Dr, Romulus, MI 48174-5200 | 2015-07-07 |
| 1578077178 | Dianna Minard | Technician | 6700 Middlebelt Rd, Romulus, MI 48174-2039 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021028 | Jaharie Green | Technician | 235 Arbor Glen Dr, East Lansing, MI 48823-8459 | 2020-10-21 |
| 1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
| 1346857067 | Nicholas Luke Roman | Technician | 10452 Lodge Dr, Allendale, MI 49401-9395 | 2020-09-27 |
| 1346856242 | Marissa Jean Brandly | Technician | 768 W Castlebury Cir, Saline, MI 48176-1348 | 2020-09-17 |
| 1962016030 | Stephanie Pertchi | Technician | 10745 48th Ave Unit Q3, Allendale, MI 49401-8127 | 2020-09-04 |
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1477166924 | Whispering Pines 2 | Technician | 1878 Soules Rd, Afton, MI 49705-9717 | 2020-08-25 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1285242420 | Anna Therese Pignone | Technician | 918 E Grand River Ave Apt 718, East Lansing, MI 48823-4597 | 2020-07-14 |
| 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.