| Century Living Inc | |
|
4777 E Outer Dr Detroit MI 48234-3241 | |
| (313) 369-5800 | |
| (313) 859-2000 |
| Full Name | Century Living Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4777 E Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Andrew Mclemore (CEO) |
| Authorized Official Contact | 3133695098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Century Living Inc 4777 E Outer Dr Detroit MI 48234-3241 Ph: (313) 369-5800 | Century Living Inc 4777 E Outer Dr Detroit MI 48234-3241 Ph: (313) 369-5800 |
| NPI Number | 1659753085 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Medicare PECOS PAC ID | 7113236472 |
|---|---|
| Medicare Enrollment ID | O20151027003045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659753085 | NPI | - | NPPES |
| 1659753085 | Medicaid | MI |
| Provider Name | Zakari M Tata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871591313 PECOS PAC ID: 9436049806 Enrollment ID: I20040318001713 |
| Provider Name | Kehinde A Ayeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366520470 PECOS PAC ID: 8729073580 Enrollment ID: I20040420000261 |
| Provider Name | Julia M Aharonov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487619623 PECOS PAC ID: 0143272526 Enrollment ID: I20050214000672 |
| Provider Name | Joram O Mogaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255407631 PECOS PAC ID: 8820044738 Enrollment ID: I20050328000123 |
| Provider Name | Karen L Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386642791 PECOS PAC ID: 1951303155 Enrollment ID: I20070131000569 |
| Provider Name | Xavier White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265548903 PECOS PAC ID: 8123116985 Enrollment ID: I20071113000406 |
| Provider Name | Ribhi Hazin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265747463 PECOS PAC ID: 6901038140 Enrollment ID: I20140422001446 |
| Provider Name | Deniene D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093107948 PECOS PAC ID: 1153631692 Enrollment ID: I20151112001155 |
| Provider Name | Lorine Kean-vaughn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417388976 PECOS PAC ID: 1355642687 Enrollment ID: I20151210001851 |
| Provider Name | Chinwe Prisca Ohaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700226875 PECOS PAC ID: 9436453685 Enrollment ID: I20160208001937 |
| Provider Name | Yolanda Y Cuff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215385851 PECOS PAC ID: 6406140615 Enrollment ID: I20160811000581 |
| Provider Name | Nalo Morant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154794311 PECOS PAC ID: 2769744234 Enrollment ID: I20180321000438 |
| Provider Name | Soraia Lynee Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723176 PECOS PAC ID: 3375815244 Enrollment ID: I20180709000336 |
| Provider Name | Juilian M Bass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912476094 PECOS PAC ID: 2668713975 Enrollment ID: I20190416000192 |
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