Futures Healthcore, LLC
Organization Active NPI Community Health Clinic/Center · Dearborn, MI
NPI 1164599544 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1164599544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- FUTURES HEALTHCORE, LLC
- Practice address
- 3101 S Gulley Rd
Suite F
Dearborn, MI 48124-4406 - Phone
- (734) 407-2500
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Susan Gannon, M.A., CCC-SLP
- Title
- Regional Director of Michigan
- Phone
- (734) 407-2500
Corporate family (same tax ID) 2
Practitioners 67
-
John Dubois, CCC-SLP
-
Margaret Mary Pfeifer Lincoln, LMSW ACSW
-
Pragya Jalukar, RPT
-
Darlene Davis Goodwine, LP, LCADC, CAADC
-
Kristin Penix, LMSW
-
Lindsey Bunio, TECH
-
Katie Hiltz, MA CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150820011480 | MI | Part B Supplier - Clinic/Group Practice | 9830404763 |
Receives reassigned benefits from 9 practitioners Practice locations: Dearborn, MI |
National Provider Directory
- Tax ID family
- Futures Healthcore LLC
Locations
3101 S Gulley Rd
Ste F
Dearborn, MI 48124
Phone (734) 407-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Registered Dietitian |
133V00000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
3101 S Gulley Rd
Suite F
Dearborn, MI 48124-4406
Mailing address
136 William St
Springfield, MA 01105-2349
Phone (800) 218-9280
Other providers in Dearborn, MI
- Carissa Elise Fuerth
- Cornelius Fuller
- Trene Lynn Fulton
- Yat Ching Fung
- Roman Furchi
- Gabri Pharmacy LLC
- Iman Gaddis
- Karen Therese Gagnon
- Peter Gaied
- Aysha Gaines
All providers in Dearborn, MI · Community Health Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.