ADVANCED LIFE PROVIDERS (NPI# 1114450707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114450707 |
| Entity Type | Organization |
| Organization Name | ADVANCED LIFE PROVIDERS |
| Practice Address |
239 Willow Rd Matteson IL 60443-1068 |
| Practice Telephone | 8478307385 |
| Mailing Telephone | 8478307385 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | LA TONYA LEE RAFE (CEO) |
| Authorized Official Telephone | 8478307385 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | 041348482 | IL | Other Service Providers |
| Street Address |
239 WILLOW RD |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152421 | Brandee Lou Barroso | Health Educator | 1226 14th St, Peru, IL 61354-1836 | 2020-07-24 |
| 1215545462 | Integrated Case Management L3c | Health Educator | 701 Warrenville Rd Ste 250, Lisle, IL 60532-1704 | 2020-07-14 |
| 1770141566 | Erin Horetski | Health Educator | 4922 N Janssen Ave Unit 1, Chicago, IL 60640-3517 | 2019-06-05 |
| 1093285454 | Emily Bernardes Klockenga | Health Educator | 2943 W White Oaks Dr Ste 1, Springfield, IL 62704-6596 | 2018-11-28 |
| 1427532498 | Aishling Companion Home Care, Inc | Health Educator | 13255 Southwest Hwy Ste 200, Orland Park, IL 60462-1362 | 2018-09-17 |
| 1841792801 | Rhonda Richter | Health Educator | 24735 W. Eames St., Channahon, IL 60410 | 2018-03-06 |
| 1609378249 | True Blue Health & Wellness Inc | Health Educator | 11 S Evergreen Ave, Arlington Heights, IL 60005-1427 | 2018-02-28 |
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 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.