MR. AUSTYN DESEAN HOLLINGSHED (NPI# 1912470907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912470907 |
Entity Type | Individual |
Full Name | MR. AUSTYN DESEAN HOLLINGSHED |
Practice Address |
485 Hustler St Gwinn MI 49841-2902 |
Practice Telephone | 9062511596 |
Mailing Telephone | 9062511596 |
Enumeration Date | 2019-01-02 |
Last Update Date | 2019-01-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | UPHP0022 | 0022819320 | 01 |
MI | DRIVERS LICENSE | H452074139741 | 01 |
Street Address |
485 HUSTLER ST |
City | GWINN |
State | MI |
Zip Code | 49841-2902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457904229 | Gwendolyn Buck Dds Pllc | Clinic/Center | 271 East Sate Highway M-35, Gwinn, MI 49841 | 2019-07-22 |
1174905715 | Laurie Robinson | Home Health | 262 Carbon St, Gwinn, MI 49841 | 2015-06-19 |
1114183175 | Autumn M Trudeau | Nurse Practitioner | 50 West M-35, Gwinn, MI 49841 | 2008-07-30 |
1770755886 | Sands Township | Ambulance | 987 South State Hwy M-553, Gwinn, MI 49841 | 2008-03-28 |
1720202146 | Vicki Hyde | Pharmacist | 130 E State Highway M35, Gwinn, MI 49841 | 2007-04-13 |
1033125836 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 130 E State Highway M-35, Gwinn, MI 49841 | 2006-08-01 |
1043260995 | Catherine A Kroll | Family Medicine | 135 E. M-35, Gwinn, MI 49841 | 2006-05-11 |
1548792781 | Shayna M Orlich | Nurse Practitioner | 135 E M35, Gwinn, MI 49841 | 2017-03-28 |
1457301319 | Catherine A Kroll, Do,pc | Family Medicine | 135 E. M-35, Gwinn, MI 49841 | 2006-05-11 |
1144543745 | Ann Louise Howell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Provider St, Gwinn, MI 49841-2726 | 2010-03-10 |
Find all providers in zip 49841 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275131112 | Kimberly Ann Walker | Adult Companion | 452 Bay St, Pontiac, MI 48342-1912 | 2020-10-13 |
1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
1346883618 | Barbara Rodriguez | Adult Companion | 2295 N Winn Rd, Mount Pleasant, MI 48858-9736 | 2019-10-19 |
1407415730 | Monesha Maria Moore | Adult Companion | 29555 Laurel Woods Dr Apt 205, Southfield, MI 48034-4664 | 2019-06-11 |
1407412638 | Geisha Shanee Burton | Adult Companion | 8160 E Lantz St, Detroit, MI 48234-3303 | 2019-05-13 |
1639636855 | Latesa Renae Thomas | Adult Companion | 11611 Grayton St, Detroit, MI 48224-1643 | 2019-02-24 |
1437626256 | Carrie Lynn Dextrom | Adult Companion | 9200 W Walker Rd, Manton, MI 49663-9315 | 2018-10-30 |
1205323086 | Theresa A Akin | Adult Companion | 20485 Goddard St Apt 102, Detroit, MI 48234-1354 | 2018-04-17 |
1114442084 | Rhonda Lewis | Adult Companion | 18603 Mendota St, Detroit, MI 48221-1911 | 2017-08-11 |
1275062002 | Iyeshia Galloway | Adult Companion | 5075 Farmbrook St, Detroit, MI 48224-1377 | 2017-06-06 |
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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.