Gretchen'S Place

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GRETCHEN'S PLACE

Practice address

25 Owen St
Belleville, MI 48111-2921

Phone

(734) 699-5400

NPI assigned

Apr 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deodge Hill, PANPI 1174560106

Title

Owner

Phone

(734) 699-5400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deodge Monique Hill, PAC

  • Physician Assistant
  • Detroit, MI
  • NPI 1174560106
  Medicare reassignment Authorized official
• Zakari Tata, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1871591313
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1013537802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE # 318",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OWEN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112921",
            "telephone_number": "734-699-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DEODGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-699-5400",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold C Gable II, D.C.
• GC Mutual Solutions LLC.
• God'S Precious Treasures
• Golden Home Health Care Agency, Inc.
• Jagatheesan Saxon Govender, PH.D
• Elizabeth Griffin, CTRS
• Henry Grigsby I
• Joseph M Gumro
• Brittany Guyton, LLMSW
• Li S Harder, RD

• Multi-Specialty Clinic/Center in Belleville, MI
• Providers in Belleville, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.