LIFELAB KIDS FOUNDATION (NPI# 1992286306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992286306 |
| Entity Type | Organization |
| Organization Name | LIFELAB KIDS FOUNDATION |
| Practice Address |
3178 Hilton Rd Ferndale MI 48220-1059 |
| Practice Telephone | 2489309415 |
| Mailing Telephone | 2489309415 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | JAI REDDY DEPA (FOUNDER) |
| Authorized Official Telephone | 2489309415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
3178 HILTON RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1477186971 | Desmond Williams | Behavior Technician | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2020-02-13 |
| 1699307629 | Brian Anthony Cagle | Recreation Therapist | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2020-02-07 |
| 1639713803 | Alyse Marie Wahler | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2019-10-31 |
| 1902449929 | Nicholas Sirbu | Behavior Technician | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2019-10-22 |
| 1407326770 | Matthew Deering Bessette | Music Therapist | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2018-11-29 |
| 1164968814 | Bridgette Crockett | Counselor | 3178 Hilton Rd, Ferndale, MI 48220 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| 1720400492 | Rachel Marie Suidan | Advanced Practice Midwife | 23338 Woodland Ave, Ferndale, MI 48220 | 2014-01-14 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1306334115 | Endeavor Behavioral Health, LLC | Clinic/Center | 225 Michigan St. Nw #3520, Grand Rapids, MI 49501-3520 | 2018-04-26 |
| 1578823175 | Bertram Haus | Clinic/Center | 1330 Kenneth St, Burton, MI 48529-2206 | 2012-05-17 |
| 1659536167 | O.t. Inc | Clinic/Center | 2180 Western Meadows Dr, Flushing, MI 48433-9447 | 2008-07-23 |
| 1013087345 | Latino Family Services | Clinic/Center | 3815 W Fort St, Detroit, MI 48216-1652 | 2006-11-08 |
| 1144830217 | Milestones Aba Therapy | Clinic/Center | 7301 Schaefer Rd, Dearborn, MI 48126-4915 | 2020-08-04 |
| 1407361538 | Residential Opportunities, Inc. | Clinic/Center | 416 Washington St, Three Rivers, MI 49093-1130 | 2017-12-12 |
| 1730694886 | Residential Opportunities, Inc. | Clinic/Center | 1800 S 35th St, Galesburg, MI 49053-9688 | 2017-12-12 |
| 1538674676 | Residential Opportunities, Inc. | Clinic/Center | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-12-12 |
| 1154776201 | Center for Exceptional Families | Clinic/Center | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2016-04-26 |
| 1033510821 | Dearborn Speech and Sensory Center, Inc | Clinic/Center | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2014-09-11 |
| 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.