Individual provider Active NPI

Giva Tillman - Adkins

  • Home Health Aide
  • Niles, MI
National Provider Identifier
1114337292
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1723 Pucker Street Dr
Niles, MI 49120-1192
Phone
(269) 687-9556
Fax
(269) 683-5280
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1723 Pucker Street Dr
Niles, MI 49120-1192

Mailing address

1723 Pucker Street Dr
Niles, MI 49120-1192
Phone (269) 687-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131011000717 MI Part A Provider - Home Health Agency 0042444705

Home health agency certification: CCN 239305

Legal name
GIVA TILLMAN
Doing business as
ALL NEEDS SENIOR SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 5, 2015
Last certification
Jan 29, 2021
Ownership / control type
Proprietary
Organization structure
Sole ProprietorProprietary
Enrollment address
1723 Pucker Street Dr
Niles, MI 49120-1192

Care Compare: Home health agency

Medicare Care Compare
Listed as
All Needs Senior ServicesCCN 239305
Ownership
Proprietary
Certified
Jun 5, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giva Tillman-Adkins Current Accepting new patients

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Giva O Tillman Individual 5% Or Greater Direct Ownership Interest May 1, 2014 100%
Operational/Managerial ControlOwner May 1, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1114337292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 PUCKER STREET DR",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201192",
            "telephone_number": "269-687-9556",
            "fax_number": "269-683-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 PUCKER STREET DR",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201192",
            "telephone_number": "269-687-9556",
            "fax_number": "269-683-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN - ADKINS",
        "first_name": "GIVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.