DEBRA PHILLIP (NPI# 1912541038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912541038 |
| Entity Type | Individual |
| Full Name | DEBRA PHILLIP |
| Practice Address |
25775 Larkins St Southfield MI 48033-4852 |
| Mailing Address |
Po Box 231 Southfield MI 48037-0231 |
| Practice Telephone | 2487962950 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21691 Fairway Dr, Southfield, MI 480334314 | 2487962950 |
| Street Address |
25775 LARKINS ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965366 | Joshua Phillip | Nursing Home Administrator | 21691 Fairway Dr, Southfield, MI 48033-4314 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977561 | Anna Bakkour | Nursing Home Administrator | 6312 Whitefield St, Dearborn Heights, MI 48127-4815 | 2020-09-16 |
| 1649888280 | Latifah Wadeedah Jones | Nursing Home Administrator | 849 E Grand Blvd, Detroit, MI 48207-2551 | 2020-07-20 |
| 1710508569 | Santias Place LLC | Nursing Home Administrator | 7370 Cornwall Ct, West Bloomfield, MI 48322-4069 | 2020-05-04 |
| 1750902755 | Theresa Ann Posey | Nursing Home Administrator | 8470 Parshallville Rd, Fenton, MI 48430-9211 | 2020-04-30 |
| 1326674888 | Haven Lee Homes LLC | Nursing Home Administrator | 760 Wattles Rd, Bloomfield Hills, MI 48304-3279 | 2020-03-17 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1457877110 | Larese Wood | Nursing Home Administrator | 26505 Coolidge Hwy, Oak Park, MI 48237-1114 | 2017-08-15 |
| 1063955565 | Cheryl Lamar | Nursing Home Administrator | 27900 Sumpter Rd, New Boston, MI 48164-9621 | 2016-12-01 |
| 1932571031 | Carrie Hunt | Nursing Home Administrator | 215 Rivershore Dr, Elk Rapids, MI 49629-9753 | 2015-10-28 |
| 1043640337 | Brenda Wodarski | Nursing Home Administrator | 3109 S Bluff Ct, Hudsonville, MI 49426-1580 | 2013-11-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on DEBRA PHILLIP.
| 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.