DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THERESA DIAZ

MEDICARE: THERESA DIAZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantD200792005944MI

General Provider Information

NPI Number : 1649133117
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA DIAZ
Provider Business Mailing Address
First Line : 4218 BURTON ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-6121
Country : US
Telephone Number : 616-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4218 BURTON ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-6121
Country : US
Telephone Number : 616-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/04/2025

Similar Medicare Providers

1841154705 — SHAMYIA SMITH
Practice Location Address:
4218 BURTON ST SE
GRAND RAPIDS, MI
49546-6121
Practice Phone: 616-301-8000
Practice Fax:
1992265276 — CYNTHIA YURITZI LAMAS-NAVARRO
Practice Location Address:
4218 BURTON ST SE
GRAND RAPIDS, MI
49546-6121
Practice Phone: 616-957-4057
Practice Fax:
1316802796 — AMY LYNN WARD
Practice Location Address:
4218 BURTON ST SE
GRAND RAPIDS, MI
49546-6121
Practice Phone: 616-301-8000
Practice Fax:
1235093675 — RHASHANAE M TOLBERT
Practice Location Address:
4218 BURTON ST SE
GRAND RAPIDS, MI
49546-6121
Practice Phone: 616-301-8000
Practice Fax:
1588528962 — WILLA VIVIAN TAYLOR
Practice Location Address:
4218 BURTON ST SE
GRAND RAPIDS, MI
49546-6121
Practice Phone: 616-301-8000
Practice Fax:
1194687780 — XIAXIANGE SMITH
Practice Location Address:
4218 BURTON ST SE
GRAND RAPIDS, MI
49546-6121
Practice Phone: 616-301-8000
Practice Fax:

Directions to “ THERESA DIAZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.