CLEAR WATERS HOME CARE SERVICES LLC (NPI# 1104349588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104349588 |
| Entity Type | Organization |
| Organization Name | CLEAR WATERS HOME CARE SERVICES LLC |
| Practice Address |
40 Grove St Ste 105 Middletown NY 10940-4873 |
| Practice Telephone | (845) 313-9268 |
| Practice Fax Number | 8453552193 |
| Mailing Telephone | 8453139268 |
| Mailing Fax Number | 8453552193 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | FOLAKE LATINWO (PRESIDENT/COO) |
| Authorized Official Telephone | 8453434881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1980L001 | NY | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Grove St Ste 105, Middletown, NY 109404873 | (845) 313-9268 | 8453552193 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CLEAR WATERS HOME CARE SERVICES LLC | 144 Gardnerville Rd, New Hampton, Ny 10958 |
| Street Address |
40 GROVE ST STE 105 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-4873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458864 | James J Ceaser Jr. | Home Health | 3004 Roosevelt Blvd, Middletown, OH 45044-6318 | 2020-08-17 |
| 1154945277 | Cedar Ridge Home Health | Home Health | 6151 Hursh Rd, Middletown, OH 45042-8938 | 2020-06-04 |
| 1881222743 | Bonnie M Murphy | Home Health | 1502 Yankee Rd, Middletown, OH 45044-5720 | 2020-03-27 |
| 1114586435 | Kindheart Home Care Inc | Home Health | 207 Parker Dr, Middletown, DE 19709-2623 | 2019-06-10 |
| 1356905616 | Nova Leap Health Corp. Holdings Inc Dba All About Home Care | Home Health | 438 E Main Rd Ste 202, Middletown, RI 02842-5264 | 2019-04-23 |
| 1831654409 | Nadesa Quality Care LLC | Home Health | 364 E Main St Ste 193, Middletown, DE 19709-1482 | 2019-02-07 |
| 1972088318 | Good Shepherd Home Services, LLC | Home Health | 24 W Minglewood Dr, Middletown, DE 19709-2408 | 2018-10-02 |
| 1902390149 | Modern Ally Company, LLC | Home Health | 1545 S Breiel Blvd Ste E, Middletown, OH 45044-6703 | 2018-06-20 |
| 1336667112 | Chentellee Madden | Home Health | 614 County Route 78, Middletown, NY 10940 | 2017-08-31 |
| 1710354402 | Emerald Senior Services D/b/a In Home Health Care for Elderly | Home Health | 532 N Spring St, Middletown, PA 17057-1947 | 2015-08-28 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.