Provider Demographics
NPI:1124871561
Name:ROBINSON, SHAMIKA A
Entity type:Individual
Prefix:MR
First Name:SHAMIKA
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26261 EVERGREEN RD STE 280
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-7507
Mailing Address - Country:US
Mailing Address - Phone:313-326-3550
Mailing Address - Fax:248-530-4332
Practice Address - Street 1:26261 EVERGREEN RD STE 280
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-7507
Practice Address - Country:US
Practice Address - Phone:313-326-3550
Practice Address - Fax:248-530-4332
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No171W00000XOther Service ProvidersContractor
No171WH0202XOther Service ProvidersContractorHome Modifications
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)