Olivia Jean Flowers is a Foster Care Agency based in Detroit, MI. Olivia Jean Flowers practices in Detroit, MI. The NPI Number for Olivia Jean Flowers is 1467919688 and holds a License No. 1742000000X (Michigan).
The current practice location address for Olivia Jean Flowers is 119 Pingree St, Detroit, MI and can be reached out via phone at 313-656-4077. You can also correspond with Olivia Jean Flowers through the mailing address at PO BOX 2922, DETROIT, MI - 48202-0952 (mailing address contact number: 313-656-4077).
Location: 119 Pingree St, Detroit, MI, 48202-0952
Provider Profile Details
NPI Number
1467919688
Provider Name
Olivia Jean Flowers
Credential
Provider Entity Type
Individual
Gender
Female
Address
119 Pingree St, Detroit, MI, 48202-0952
Phone Number
313-656-4077
Fax Number
Provider Enumeration Date
02/24/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6306779 | 05 | MI |
Provider Business Practice Location Address Details
Address
119 Pingree St
City
State
Zip
48202-2021
Phone Number
313-656-4077
Fax Number
Provider Business Mailing Address Details
Address
Po Box 2922
City
State
Zip
48202-0952
Phone Number
313-656-4077
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
License No.
AM820079488 (Michigan)
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
License No.
3439000000X (Michigan)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
License No.
315P000000X (Michigan)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
3105000000X (Michigan)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
License No.
251S0000000X (Michigan)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Provider's Taxonomy Details 6
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
License No.
251J0000X (Michigan)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Provider's Taxonomy Details 7
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
177F000000X (Michigan)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Provider's Taxonomy Details 8
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
1742000000X (Michigan)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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