Provider Demographics
NPI:1457755522
Name:GIVA TILLMAN-ADKINS
Entity Type:Organization
Organization Name:GIVA TILLMAN-ADKINS
Other - Org Name:ALL NEEDS SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GIVA
Authorized Official - Middle Name:ONETA
Authorized Official - Last Name:TILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-697-9556
Mailing Address - Street 1:1723 PUCKER STREET DR
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-1192
Mailing Address - Country:US
Mailing Address - Phone:269-697-9556
Mailing Address - Fax:269-683-5280
Practice Address - Street 1:1723 PUCKER STREET DR
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-1192
Practice Address - Country:US
Practice Address - Phone:269-697-9556
Practice Address - Fax:269-683-5280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIVA TILLMAN-ADKINS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-17
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
251J00000X, 253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7508904Medicaid
MI5361533Medicaid