Active NPI
Giva Tillman - Adkins
- Home Health Aide
- Niles, MI
National Provider Identifier
1114337292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Proprietor
- Enrollment address
- 1723 Pucker Street Dr
Niles, MI 49120-1192
Care Compare: Home health agency
Medicare Care Compare- Listed as
- All Needs Senior Services
- Ownership
- Proprietary
- Certified
- Jun 5, 2015
- Medicare certification status
- Active
- 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
| Organization | Specialty | Status | New 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Giva O Tillman | 5% Or Greater Direct Ownership Interest | May 1, 2014 | 100% |
| Operational/Managerial Control | 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.
-
- Home Health Agency
- Niles, MI
- NPI 1457755522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.