MRS. PERCILLA D ZENO (NPI# 1114411279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114411279 |
| Entity Type | Individual |
| Full Name | MRS. PERCILLA D ZENO |
| Credential | CPS |
| Practice Address |
102 Niblick Cir Suffolk VA 23434 |
| Mailing Address |
445 N Main St Unit 1702 Suffolk VA 23439-1578 |
| Practice Telephone | 7579330635 |
| Practice Fax Number | 4432938902 |
| Mailing Telephone | 4107182034 |
| Mailing Fax Number | 4432938902 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | VA | Other Service Providers | |
| Y | 175T00000X | Peer Specialist | 0735000071 | VA | Other Service Providers |
| Street Address |
102 NIBLICK CIR |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| 1013464510 | Lovable Homecare LLC | Home Health | 323 York Strret, Suffolk, VA 23434 | 2016-09-01 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787045 | Sayyeda Hall | Peer Specialist | 1806 Summit Ave Ste 300, Richmond, VA 23230-4339 | 2020-10-09 |
| 1689215162 | Irisebygette LLC | Peer Specialist | 13701 River Walk Pl Apt 203, Chester, VA 23836-6166 | 2019-10-04 |
| 1609438092 | Pearls Center of Hope, Inc. | Peer Specialist | 2801 Feddo Ct, Chester, VA 23831-5209 | 2019-07-05 |
| 1992269872 | Queens United Wellness Center,llc | Peer Specialist | 676 Oleander Cir, Virginia Beach, VA 23464-4218 | 2019-01-25 |
| 1124521372 | Christina Burnette | Peer Specialist | 17900 River Rd, Chesterfield, VA 23838-1246 | 2018-03-14 |
| 1720581986 | Roger Alan Koller | Peer Specialist | 513 Portwest Ct, Richmond, VA 23238-5529 | 2018-03-14 |
| 1679080246 | Darryl Glenn Drummond | Peer Specialist | 1601 Otterdale Rd, Midlothian, VA 23114-6913 | 2018-01-04 |
| 1770008328 | Traci Cathryn Jones | Peer Specialist | 326 Mac Murdo St, Ashland, VA 23005-2116 | 2017-08-04 |
| 1396275426 | Sheila Diane Perry | Peer Specialist | 604 Willomett Ave, Richmond, VA 23227-2921 | 2017-06-12 |
| 1033642665 | The Learning and Integrating New Knowledge and Skills Center, Inc. (t | Peer Specialist | 827 Commerce St, Petersburg, VA 23803-3003 | 2017-04-11 |
| 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.