Torre Vancha Martin, ADULT FOSTER CARE

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

AF500272469 Issued in MI

Practice address

43732 Medea Dr
Clinton Township, MI 48036-1299

Phone

(586) 569-9155

NPI assigned

Jun 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053831461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43732 MEDEA DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361299",
            "telephone_number": "586-569-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43732 MEDEA DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361299",
            "telephone_number": "586-569-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TORRE",
        "middle_name": "VANCHA",
        "credential": "ADULT FOSTER CARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "AF500272469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Markov
• Alyssa R Maron
• Candace Nat'E Marshall, LLBSW
• Brooke Marie Marsrow
• Jaclynne Ann Martin, LMSW
• Ligia Martinescul, CNP
• Carlos Gerardo Martinez Elizondo, MD
• Anthony Martinico
• Marvin Shulman, MD, PC (The Senior Eye Site)
• Mary's Residential Care for Seniors, Inc

• Community Health Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.