KRUPA MEHTA (NPI# 1952780611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952780611 |
Entity Type | Individual |
Full Name | KRUPA MEHTA |
Credential | RSST |
Practice Address |
17141 Ryan Rd Detroit MI 48212 |
Mailing Address |
17141 Ryan Rd Detroit MI 48212-1112 |
Practice Telephone | 3137334859 |
Mailing Telephone | 3137334859 |
Enumeration Date | 2015-05-27 |
Last Update Date | 2019-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | 6803086709 | MI | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
35425 W Michigan Ave, Wayne, MI 481849800 | 7344677600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720361637 | Krupa Mehta | Pharmacist | 990 E Cumberland Gap Pkwy, Corbin, KY 40701-2574 | 2011-09-27 |
1497087027 | Krupa Mehta | Physical Therapist | 207 W 110th St, Apt: 14, New York, NY 10026-4135 | 2010-02-07 |
1366788986 | Krupa B Mehta | Physical Therapist | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2012-12-31 |
Street Address |
17141 RYAN RD |
City | DETROIT |
State | MI |
Zip Code | 48212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841204641 | The Adult Psychiatric Clinic | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2006-07-28 |
1376057828 | Lori Lennon | Peer Specialist | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2017-11-20 |
1285010462 | Brandon Luke | Technician, Other | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2015-08-10 |
1609275650 | Layna Johnson | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-08-15 |
1720496565 | Charles Vincent Ramsey | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-24 |
1528475902 | Alicia Scher | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-17 |
1952712598 | Dolores Shank | Registered Nurse | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-05-16 |
1700209913 | Claudia Jean-pierre | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-23 |
1821410291 | Celestine Spruille | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-20 |
1992127534 | Donna Fellman | Registered Nurse | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
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Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1083243596 | Kelley Grice | Case Manager/Care Coordinator | 4620 Haverhill St, Detroit, MI 48224-3520 | 2020-04-06 |
1316573652 | Stacey Hayes | Case Manager/Care Coordinator | 18283 Freeland St, Detroit, MI 48235-2537 | 2020-03-18 |
1255978045 | Barbara Richelle Williams | Case Manager/Care Coordinator | 1800 Brainard St Apt 104, Detroit, MI 48208-2863 | 2019-11-29 |
1609427376 | Alexis Williams | Case Manager/Care Coordinator | 8828 Moffat St, Detroit, MI 48213-2909 | 2019-09-24 |
1376107136 | Brittany Wright-ahmad | Case Manager/Care Coordinator | 888 Pallister St Apt 103, Detroit, MI 48202-2670 | 2019-04-26 |
1336609320 | Emily Dozier | Case Manager/Care Coordinator | 65 Cadillac Sq Fl 30, Detroit, MI 48226-2844 | 2019-03-25 |
1063913457 | Candiss Letice Chambers | Case Manager/Care Coordinator | 2712 Gratiot Ave, Detroit, MI 48207-2493 | 2018-02-22 |
1356859375 | Natasha Walker | Case Manager/Care Coordinator | 4929 Spokane St, Detroit, MI 48204-5021 | 2018-01-11 |
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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.