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Medicaid Michigan Sanction Provider List September 1, 2021 MDHHS

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Medicaid Michigan Sanction Provider List September 20, 2021 [email protected] Middle Sanction Sanction Sanction Sanction Entity Name Last Name First Name Name Provider Category NPI# City License# Date1 Source Date2 Source Reason Summary 1st Priority Physical Therapy LLC Group 1134422363 Detroit 8/2/2016 MDHHS-OIG Suspension Summary A.N.N. Inc Home Health Agency 1598814501 Livonia 7/22/2015 MDHHS-OIG Suspension A Dental Center PC - Allen Park Dental Group Allen Park 5/20/2004 HHS 1128(a)(1) A Dental Center PC - Southgate Dental Group Southgate 7/20/2004 1128(a)(1) Acadian Diagnostic Laboratories LLC Laboratory 1316370950 Baton Rouge, LA 19D2062876 5/15/2021 MDHHS Terminated Summary Suspension Advanced Care Services Group 1811290794 Oak Park 12/22/2015 HHS 6/8/2018 MDHHS-OIG Terminated MI-Licensing and Regulatory Voluntarily Advanced Homecare Pharmacy Pharmacy 1710923107 Redford 5301008284 10/14/2015 Affairs Surrendered Advanced Medical Services PLLC Summary dba Advanced Sleep Diagnostic Suspension of Michigan Group 1922451632 Lansing 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG Terminated Advanced Sleep Summary Neurodiagnostics PC Group 1134143654 Farmington Hills 10/15/2017 MDHHS-OIG Suspension Summary Suspension Alam, Waseem MD PC Medical Group 1184724114 Bloomfield Hills 7/29/2015 MDHHS-OIG 11/8/2018 MDHHS-OIG Terminated Summary Suspension Ali Elhorr M.D.P.C. Medical Group 1558651422 Dearborn 5/19/2015 DCH-OIG 11/1/2019 MDHHS-OIG Terminated Volunatarily Surrendered - MI-Licensing Controlled and Substance Regulatory Facilty All American Pharmacy LLC Pharmacy 1609151109 Flint 2/14/2018 Affairs License Only Summary Suspension Allied Geriatric Services PC Medical Group 1821196551 Birmingham 3/6/2013 DCH 10/29/2018 MDHHS-OIG Terminated Medicaid Michigan Sanction Provider List September 20, 2021 [email protected] Middle Sanction Sanction Sanction Sanction Entity Name Last Name First Name Name Provider Category NPI# City License# Date1 Source Date2 Source Reason American Home Doctors PC Medical Group 1740623222 Warren 8/21/2021 HHS Revokjed American Home Care Assistants Summary LLC Home Help Agency Detroit 8/17/2020 MDHHS-OIG Suspension Summary American Medical Missionary Suspension Care Home Help Agency 1578600920 Saginaw 12/5/2016 MDHHS-OIG 1/9/2017 MDHHS-OIG Termination MI-Licensing and Regulatory Andy's Motown Pharmacy Pharmacy 1053355271 Detroit 5301008407 3/28/2011 Affairs Suspended Angels Touch Home Health Care Summary LLC Home Health 1922252865 Taylor 3/6/2013 DCH Suspension Suspended At Home Doctors P.C. Group 1851627053 Lansing 5/23/2013 DCH-OIG DCH-OIG Terminated Summary AttarMD PC Group 1275720716 Livonia 9/19/2017 MDHHS-OIG Suspension Summary Suspension Awerbuch, Gavin MD PC Group 1003130352 Saginaw 6/19/2014 DCH-OIG 11/6/2018 MDHHS-OIG Terminated b3 Diagnostic Laboratory LLC Laboratory 1902287279 Troy 23D2097180 5/15/2021 MDHHS Terminated Summary Ban Mecheal MD PC Gruup 1033301569 Livonia 9/17/2019 MDHHS-OIG Suspension Summary Bay City Vascular P.C. Group 1346424009 Bay City 9/30/2015 MDHHS-OIG Suspension Summary Suspension and Bennett Family Chiropractic PLLC Chiropractic Group 1386881191 Auburn Hills 5/27/2020 MDHHS-OIG Termination Summary MI-Licensing Suspended and Volunatrily Regulatory 2/14/18 Surrendered Benstar Pharmacy LLC Pharmacy 1255679924 Detroit 5301010006 11/2/2017 Affairs 6/14/18 MDHHS-OIG Terminated Beval Medical Equipment & Supplies Supplier 1235163551 Royal Oak 562580933 06/11/2015 CMS Revoked Birmingham Rehab & Physical Rehab Therapy Therapy Center, Inc. Services Detroit 36687 12/18/2003 HHS 1128(a)(1) Medicaid Michigan Sanction Provider List September 20, 2021 [email protected] Middle Sanction Sanction Sanction Sanction Entity Name Last Name First Name Name Provider Category NPI# City License# Date1 Source Date2 Source Reason Breakthrough Believers Recovery Summary and Healing Center Group 1376866160 Grand Rapids 3/31/2021 MDHHS-OIG Suspension BrightSmiles Dental Group 1508229014 West Bloomfield 20153421 1/26/2017 MDHHS Terminated BrightSmiles PA 161 Dental Group 1083848311 Waterfrd 20152161 1/26/2017 MDHHS Terminated Broadstreet Nursing Center Nursing Facility 83418 9/27/2000 Summary Suspension Canton Urgent Care P.C. Group 1992830863 Canton 5/18/2016 MDHHS-OIG 1/18/2021 MDHHS-OIG Termination Controlled Substance C3- Facility MI-Licensing MI-Licensing license only and and summary Regulatory Regulatory suspended Carpenter Pharmacy Pharmacy 1578655627 Hamtramck 5315015095 6/14/2018 Affairs 10/10/2018 Affairs Suspended License Cedar Knoll Care Center Nursing Facility Grass Lake 3/7/2007 DCH Revocation Summary Center Light Home Help Care Home Help Agency Detroit 5/12/2020 MDHHS-OIG Suspension Summary Centrad Healthcare LLC Group 1346243979 Naperville, IL 11/14/2017 MDHHS-OIG Suspension Summary Suspension Christina L Kimbrough PLLC Group 1770933194 Southfield 5/1/2018 MDHHS-OIG 12/21/2018 MDHHS-OIG Terminated Clinical Psychiatric Medicine PC Group 1386677185 Grandville 7/18/2013 DCH-OIG Suspended Summary Suspension Commerce Township Pharmacy Pharmacy 1851616452 Commerce Township 8/31/2011 DCH 5/30/2016 MDHHS-OIG Terminated Community Rehabiltation Summary Services Group 1669424776 Rose City 7/13/2016 MDHHS-OIG Suspension Compassionate Doctors PC Group 1326153578 Southfield 7/30/2013 DCH-OIG 1128(a)(2) Complete Health, LLC Group Group 1083801500 Livonia 6/21/2011 HHS Summary Counseling Solutions Centers Group 1770021602 Troy 4/12/2021 MDHHS-OIG Suspension Medicaid Michigan Sanction Provider List September 20, 2021 [email protected] Middle Sanction Sanction Sanction Sanction Entity Name Last Name First Name Name Provider Category NPI# City License# Date1 Source Date2 Source Reason MI-Licensing and Regulatory Voluntarily Creams N Caps Pharmacy 1386972859 Southfield 5301010570 10/14/2015 Affairs Surrendered Cutting Edge Orthopaedics LLC Group 1295070746 Sylvania, OH 9/15/2015 MDHHS-OIG Suspended Summary Suspension Davenport Pharmacy Pharmacy 1548585136 Saginaw 8/31/2011 DCH-OIG 5/23/2016 MDHHS-OIG Termination Dearborn Pharmacy, Inc. Pharmacy Dearborn 2/20/2006 HHS 1128(a)(3) Summary Dearborn Family Medicine Suspension Center Medical Group 1467407080 Dearborn 7/8/2013 DCH-OIG 5/5/2016 MDHHS-OIG Terminated Summary Suspension Dearborn Nuro Clinic PC Group 1568638088 Dearborn 12/1/2016 MDHHS-OIG 4/12/2018 MDHHS-OIG Terminated Summary Suspension Dearborn Podiatric Surgeons PC Group 1447467485 Dearborn 12/3/2017 MDHHS-OIG 12/26/2018 MDHHS-OIG Terminated MI-Licensing MI-Licensing Summary and and Suspension Regulatory Regulatory Voluntary Dearborn Rx Pharmacy Group 1982054383 Dearborn 5301010958 7/26/2017 Affairs 12/13/2017 Affairs Termination Detroit Diverse Care, Inc. Physician Group Detroit 3/16/1997 HHS 1128(a)(1) Summary Detroit Medical Clinic Medical Group 1245244110 Detroit 7/30/2013 DCH-OIG 10/31/2019 MDHHS-OIG Suspension Summary Suspension Diamond Pharmacy Pharmacy 1720380140 Kalamazoo NCPDP 2374724 8/19/2011 DCH 6/2/2016 MDHHS Termination MI-Licensing Summary and SuspensionV Regulatory oluntarily Divine Pharmacy LLC Pharmacy 1003273202 Detroit 5301010794 4/13/2020 MDHHS-OIG 6/9/2021 Affairs Surrendered Medicaid Michigan Sanction Provider List September 20, 2021 [email protected] Middle Sanction Sanction Sanction Sanction Entity Name Last Name First Name Name Provider Category NPI# City License# Date1 Source Date2 Source Reason Summary Downriver Medical Associates Suspension PLC Physician Group 1114055811 Monroe 3/21/2013 DCH 11/13/18 DCH Termination Dr Henderson Judy MD Family Summary Medicine PLLC Group 1841737277 Niles 6/1/2021 MDHHS-OIG Suspension Durand Clinic PC Physician Group Durand 9/20/2001 HHS 1128(a)(3) Summary Dwight E. Smith MD PC Physician Group 1003849753 Detroit 5/29/2012 DCH Suspension Summary Dynasty Health Solutions Inc Medical Group 1326586942 FErndale 8/4/2020 MDHHS-OIG Suspension Summary East Village Pharmacy Pharmacy 1982928818 Dearborn 8/29/2016 MDHHS-OIG Suspension MI-Licensing License and Revocation Regulatory and Summary EB James Nursing Center Nursing Facility Detroit 83422 2/12/2002 Affairs Suspension Medical Supply Summary Elrington Medical Center PLLC Company 1205875697 Redford 10/22/2013 DCH-OIG Suspension MI-Licensing and Regulatory 10/20/98: Elrose Health Services, Inc. SA Treatment Detroit 21431 4/17/1995 Affairs 10/20/1998 HHS 1128(a)(1) MI-Licensing and Regulatory 10/20/98: Elrose Health Services, Inc. SA Treatment Detroit 21391 4/17/1995 Affairs 10/20/1998 HHS 1128(a)(1) MI-Licensing and Regulatory 10/20/98: Elrose Health Services, Inc. SA Treatment Detroit 20731 4/17/1995 Affairs 10/20/1998 HHS 1128(a)(1) Enjoy Dental Care PC Dental Group Detroit 5/20/2004 HHS 1128(a)(1) MI-Licensing and Regulatory Express Discount Pharmacy Pharmacy 1225537962 Detroit 5301011289 1/8/2021 Affairs Suspended Medicaid Michigan Sanction Provider List September 20, 2021 [email protected] Middle Sanction Sanction Sanction Sanction Entity Name Last Name First Name Name Provider Category NPI# City License# Date1 Source Date2 Source Reason Summary Suspension EZ Sleep Supplies LLC Medical Supplier 1871640383 Okemos 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG Terminated MI-Licensing and Regulatory Fleth Discount Pharmacy LLC Pharmacy 1245670447 Warren 5301010191 3/5/2018 Affairs Revoked Summary Four Leaf Clover Inc Medical Group 1750451357 Westland 7/29/2015 MDHHS-OIG Suspension Francis Street Medical Associaes Summary P.C. Medical Group 1730245499 Jackson 6/29/2016
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    PUBLISHER OF THE YEAR "679" Fetty Wap "CHEAP THRILLS""679" GregFetty Kurstin,Wap Sia Furler "CLOSER" Andrew"CHEAP Taggart, THRILLS" Frederic Greg Kennett, Kurstin, Isaac Sia Furler Slade, Joseph King "CLOSER" Andrew"DON'T Taggart, LET MEFrederic DOWN" Kennett, Andrew Isaac Taggart Slade, Joseph King "DON'T"EX'S LET AND ME OH'S"DOWN" Dave Andrew Bassett Taggart "EX'S"GOLD" AND DavidOH'S" Singer-Vine Dave Bassett "GOLD""HELLO" David Greg Singer-Vine Kurstin "HIDE"HELLO" AWAY" GregBrett KurstinMcLaughlin "I HATE"HIDE U I LOVE AWAY" U" Brett Gnash, Mc LOliviaaughlin O'Brien "I HATE"I TOOK U IA LOVE PILL U"IN IBIZA"Gnash, Mike Olivia Posner O'Brien "LET ME"I TOOK LOVE A YOU" PILL LouisIN IBIZA" Bell, Mike Lumidee Posner Cedeno "LET ME LOVE"ME, YOU" MYSELF Louis & Bell, I" G-Eazy Lumidee Cedeno "NEEDED"ME, MYSELF ME" Adam & I" King G-Eazy Feeney "NEVER"NEEDED FORGET ME" Adam YOU" King Arron Feeney Davey "ONE"NEVER CALL FORGET AWAY" YOU" Maureen Arron McDonald Davey "ONE"ONE CALL DANCE" AWAY" PaulMaureen Jefferies McDonald "PILLOWTALK""ONE Anthony DANCE" Hannides, Paul Jefferies Michael Hannides "PILLOWTALK""ROSES" Anthony Andrew Hannides, Taggart Michael Hannides "SAME OLD "ROSES"LOVE" Mikkel Andrew Eriksen, Taggart Tor Hermansen "SHUT UP"SAME AND OLDDANCE" LOVE" Eli MikkelMaiman, Eriksen, Kevin Ray,Tor Hermansen Nicholas Petricca, "SHUT UP AND DANCE" SEliean Maiman, Waugaman Kevin Ray, Nicholas Petricca, "THIS IS WHATS YOUean Waugaman CAME FOR" Calvin Harris "WORK""THIS Monte IS WHAT Moir, YOUAllen CAME Ritter, FOR"Boi-1da, Calvin Rupert Harris Thomas "WORK" Monte Moir, Allen Ritter, Boi-1da, Rupert Thomas MARTIN BANDIER AND EVERYONE MARTINAT SONY/ATV BANDIER MUSIC AND PUBLISHING EVERYONE CONGRATULATEAT SONY/ATV MUSIC ALL OF PUBLISHING OUR AWARD- CONGRATULATEWINNING ASCAP ALL SONGWRITERS OF OUR AWARD- WINNING ASCAP SONGWRITERS MOST PERFORMED SONGS 679 FETTY WAP FT.