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NPI Code Detail

MEDICARE: CENTERED CARE LLC

MEDICARE: CENTERED CARE LLC
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
1253Z00000XIn Home Supportive Care Agency
2310400000XAssisted Living Facility
3225XP0019XPhysical Rehabilitation Occupational Therapist
4224Z00000XOccupational Therapy Assistant
5225100000XPhysical Therapist
6101YP2500XProfessional Counselor
7251J00000XNursing Care Agency
8251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15501011780OTHERMILARA
25201012871OTHERMILARA
35201013748OTHERMILARA
45501302316OTHERMILARA
55201007608OTHERMILARA

General Provider Information

NPI Number : 1104493436
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERED CARE LLC
Provider Business Mailing Address
First Line : 15945 WOOD RD
Second Line :
City : LANSING
State : MI
Zip : 48906-1746
Country : US
Telephone Number : 517-394-1234
Fax Number : 517-394-7716
Provider Business Practice Location Address
First Line : 15945 WOOD RD
Second Line :
City : LANSING
State : MI
Zip : 48906-1746
Country : US
Telephone Number : 517-394-1234
Fax Number : 517-394-7716
Authorized Official
Title or Position : COO
Name : TERESA HIATT
Credential : LPN
Telephone Number : 517-394-1234
Provider Enumeration Date : 06/07/2021
Last Update Date : 09/16/2025

Similar Medicare Providers

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Practice Location Address:
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1578181301 — MRS. JULIA CLARK-BROWNELL LPN
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15945 WOOD RD
LANSING, MI
48906-1746
Practice Phone: 517-652-1327
Practice Fax:
1043838865 — MRS. HEATHER LYN KLUEMPER LPN
Practice Location Address:
15945 WOOD RD
LANSING, MI
48906-1746
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Practice Fax:
1164145561 — JACQUELINE Y MILLER RN
Practice Location Address:
15945 WOOD RD
LANSING, MI
48906-1746
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Practice Fax: 517-394-7716
1841913076 — TERESA MARIE HIATT LPN
Practice Location Address:
15945 WOOD RD
LANSING, MI
48906-1746
Practice Phone: 517-394-1234
Practice Fax: 517-394-7716

Directions to “CENTERED CARE LLC ” Practice Location

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