MONIESHA AVITA JAVON BULLOCK (NPI# 1003465402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003465402 |
| Entity Type | Individual |
| Full Name | MONIESHA AVITA JAVON BULLOCK |
| Practice Address |
508 Little Margaret Ln Henrico VA 23075-1647 |
| Practice Telephone | 8048228661 |
| Mailing Telephone | 8048228661 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
508 LITTLE MARGARET LN |
| City | HENRICO |
| State | VA |
| Zip Code | 23075-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964484 | Gwendolyn Macon Keeton | Technician | 247 Carlstone Ct, Highland Springs, VA 23075 | 2019-10-18 |
| 1477917078 | Atouchofcare | Case Management | 304 Confederate Run Ct, Henrico, VA 23075-1100 | 2016-04-09 |
| 1831615228 | Rickey Williams | Driver | 113 Beauregard Ave, Henrico, VA 23075-1113 | 2017-08-17 |
| 1013565365 | Andrew Gregory Maples II | Non-emergency Medical Transport (VAN) | 118 Lee Ave, Highland Springs, VA 23075-1118 | 2019-08-29 |
| 1699076034 | Arch Support Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 118 Longstreet Ave, Highland Springs, VA 23075-1141 | 2010-11-16 |
| 1790852770 | Shaman Meshal Al Anezi | Dentist | 1001 W Nine Mile Rd, Suit A, Highland Springs, VA 23075-1146 | 2006-11-29 |
| 1659822310 | R.t. Carter II Dds PC | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2016-10-18 |
| 1023175726 | Roy Thomas Carter II | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2007-01-02 |
| 1841356268 | Philip James Baum | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2006-12-29 |
| 1063905008 | Temax Logistics LLC | Driver | 417 S Holly Ave, Highland Springs, VA 23075-1213 | 2018-06-13 |
| Find all providers in zip 23075 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687470 | The Clover Lion Group | In Home Supportive Care | 1606 Santa Rosa Rd Rm 125, Henrico, VA 23229-5014 | 2019-06-11 |
| 1497243349 | Jireh's Residents Home Care LLC | In Home Supportive Care | 10304 Avenham Way, Henrico, VA 23238-3690 | 2018-04-26 |
| 1720441710 | Unique In-home Care, LLC | In Home Supportive Care | 2570 New Market Rd, Henrico, VA 23231-7062 | 2016-03-29 |
| 1578934816 | H.o.m.e. Living Inc | In Home Supportive Care | 5719 S Laburnum Ave, Henrico, VA 23231-4431 | 2015-10-13 |
| 1770979163 | His Path, LLC | In Home Supportive Care | 10833 Ridgefield Pkwy, Henrico, VA 23233-3501 | 2015-04-13 |
| 1184903429 | Pathways To Success, LLC | In Home Supportive Care | 5054 Charles City Rd, Henrico, VA 23231-6542 | 2011-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1629675954 | Uprising Healthcare Services LLC | In Home Supportive Care | 93 Algrace Blvd, Stafford, VA 22556-8608 | 2020-10-09 |
| 1356958136 | Laugh & Live, LLC | In Home Supportive Care | 1702 Todds Lane, Suite 215, Hampton, VA 23666-3213 | 2020-09-25 |
| 1437765716 | Healing Hands Home Health, LLC | In Home Supportive Care | 16520 Goodes Bridge Rd, Amelia Court House, VA 23002-4822 | 2020-09-22 |
| 1861005639 | Icare Home Health Va LLC | In Home Supportive Care | 208 N 2nd Ave Ste 5, Hopewell, VA 23860-2703 | 2020-08-31 |
| 1518570860 | Prime Care Consultants LLC | In Home Supportive Care | 3707 Virginia Beach Blvd Ste 202, Virginia Beach, VA 23452-3412 | 2020-08-26 |
| 1861004491 | Independent Living Home Care L. L.c. | In Home Supportive Care | 6115 Mantle Rd, Burke, VA 22015-3807 | 2020-08-17 |
| 1407466931 | Francine Rose Williams | In Home Supportive Care | 17140 Shands Rd, South Prince George, VA 23805-8537 | 2020-08-10 |
| 1255940896 | Elderlescent Care Incorporated | In Home Supportive Care | 3520 Skipping Rock Way, Richmond, VA 23234-2971 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.