Mrs Tarita Dooley, in Grand Rapids, MI - In Home Supportive Care

Mrs Tarita Dooley, is a In Home Supportive Care based in Grand Rapids, Michigan. Mrs Tarita Dooley is licensed to practice in * (Not Available) (license number ) and her current practice location is 905 Ballard St Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 633-5354.

NPI number for Mrs Tarita Dooley is 1629670161 and her current mailing address is 905 Ballard St Se, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629670161.

Contact Information

	Mrs Tarita Dooley,
	905 Ballard St Se, Grand Rapids, MI 49507-2038
	(616) 633-5354
	Not Available

Provider's Profile

Full Name	Mrs Tarita Dooley
Gender	Female
Speciality	In Home Supportive Care
Location	905 Ballard St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629670161
Provider Enumeration Date: 11/10/2020
Last Update Date: 11/10/2020

Medical Identifiers

Medical identifiers for Mrs Tarita Dooley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629670161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	4703100135 (Michigan)	Secondary
251E00000X	Home Health	(* (Not Available))	Secondary
374U00000X	Home Health Aide	(* (Not Available))	Secondary
385H00000X	Respite Care	(* (Not Available))	Secondary
253Z00000X	In Home Supportive Care	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tarita Dooley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tarita Dooley, 905 Ballard St Se, Grand Rapids, MI 49507-2038 Ph: (616) 633-5354	Mrs Tarita Dooley, 905 Ballard St Se, Grand Rapids, MI 49507-2038 Ph: (616) 633-5354

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Mrs Tarita Dooley, - In Home Supportive Care in Grand Rapids, MI