Greater Oakland Visiting Nurse Association, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

237013 Issued in MI

Legal business name

GREATER OAKLAND VISITING NURSE ASSOCIATION, INC.

Practice address

959 W Huron St
Waterford, MI 48328-3727

Phone

(248) 683-1770

Fax

(248) 683-1774

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna M Fishman, M.S.N., M.S.B.A.

Title

Chief Executive Officer

Phone

(248) 683-1770

Specialties & licenses 2

Addresses

Other identifiers 5

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1629009873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283727",
            "telephone_number": "248-683-1770",
            "fax_number": "248-683-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283727",
            "telephone_number": "248-683-1770",
            "fax_number": "248-683-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER OAKLAND VISITING NURSE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-683-1770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.N., M.S.B.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237013",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": "237013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO.",
            "identifier": "0E027",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE INSURRANCE",
            "identifier": "000000004857",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS PROVIDER NO.",
            "identifier": "M017039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HLTH PROVID.",
            "identifier": "125910",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5173856",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Susan Marie Grech, RN
• Briana Greenlee, RDN
• Greentechconcept
• Greentechconcept Inc
• Aaron Tyler Greenwell, MA, LLPC, SCL

• Home Health Agency in Waterford, MI
• Providers in Waterford, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.