RENITA MITCHELL (NPI# 1093113748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093113748 |
Entity Type | Individual |
Full Name | RENITA MITCHELL |
Credential | CNA |
Practice Address |
10326 Chesley Dr Saint Louis MO 63136-2359 |
Practice Telephone | 7065189458 |
Mailing Telephone | 7065189458 |
Enumeration Date | 2014-12-11 |
Last Update Date | 2014-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
144708 | MO | Hospitals |
Street Address |
10326 CHESLEY DR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63136-2359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
Find all providers in zip 63136 |
Taxonomy Code | 2865M2000X |
Grouping | Hospitals |
Classification | Military Hospital |
Specialization | Military General Acute Care Hospital |
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
Notes: [1/1/2005: title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962946053 | Mary Ellen Rollins | Military Hospital | 800 Hospital Dr, Columbia, MO 65201-5275 | 2016-12-08 |
1104220391 | Kcva | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2014-10-16 |
1902104284 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-03-10 |
1962722462 | Kansas City Va Medical Center | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2010-06-07 |
City | SAINT LOUIS |
Zip Code | 63136 |
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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.