Active NPI
Christina Rae Grzadzinski, PCR
- Attendant Care Provider
- Roseville, MI
National Provider Identifier
1053899906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 8220747
- Practice address
- 25584 Collingwood St
Roseville, MI 48066-3956 - Phone
- (248) 242-2635
- NPI assigned
- Aug 2, 2018
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 8220747 | MI | Primary |
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Doula | 374J00000X |
Addresses
Primary practice location
25584 Collingwood St
Roseville, MI 48066-3956
Mailing address
25584 Collingwood St
Roseville, MI 48066-3956
Phone (248) 242-2635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8220747 | Other | MI | DEPARTMENT OF HUMAN RESOURCES |
| 8220747 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8220747 | MI | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1053899906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25584 COLLINGWOOD ST",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480663956",
"telephone_number": "248-242-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25584 COLLINGWOOD ST",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480663956",
"telephone_number": "248-242-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRZADZINSKI",
"first_name": "CHRISTINA",
"middle_name": "RAE",
"credential": "PCR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "MI",
"license": "8220747",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HUMAN RESOURCES",
"identifier": "8220747",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8220747",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.