CLINTON DONALD JR. (NPI# 1114541901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114541901 |
| Entity Type | Individual |
| Full Name | CLINTON DONALD JR. |
| Practice Address |
16278 Prince Dr South Holland IL 60473-3233 |
| Mailing Address |
17746 Oak Park Ave Tinley Park IL 60477-3936 |
| Practice Telephone | 7087548815 |
| Practice Fax Number | 7087981315 |
| Mailing Telephone | 7084441012 |
| Mailing Fax Number | 7086147831 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
16278 PRINCE DR |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750536983 | Human Services Inc | Clinic/Center | 16278 Prince Dr, South Holland, IL 60473-3233 | 2008-12-02 |
| 1003427808 | Robert E Smith | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-08-14 |
| 1558972356 | Ollie Harris-muse | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-08-14 |
| 1376169771 | Cassandra Ulysse | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-06-22 |
| 1922622711 | Cynthia Saveage-brown | Social Worker | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-06-08 |
| 1548899040 | Etta Martinez | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-04-06 |
| 1760010771 | Stephanie Henry | Case Manager/Care Coordinator | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-03-27 |
| 1417585431 | Daphne Riley | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-03-27 |
| 1730641200 | Shelbey Gordon | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2019-04-03 |
| 1144702192 | Kenya Gavin | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760010771 | Stephanie Henry | Case Manager/Care Coordinator | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-03-27 |
| 1922597186 | Aminat Abisola Ishadimu | Case Manager/Care Coordinator | 530 E 162nd St, South Holland, IL 60473-2326 | 2018-05-03 |
| 1578076899 | Al Williams | Case Manager/Care Coordinator | 16278 Prince Dr, South Holland, IL 60473-3233 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887157 | Forefront Healthcare Solutions, Inc. | Case Manager/Care Coordinator | 60 E Monroe St Unit 3801, Chicago, IL 60603-2751 | 2020-10-08 |
| 1205441698 | Desirae Mccrainey | Case Manager/Care Coordinator | 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 | 2020-09-11 |
| 1871119966 | Nimble Corporation | Case Manager/Care Coordinator | 28369 Davis Pkwy Ste 403, Warrenville, IL 60555-3036 | 2020-06-24 |
| 1659993954 | Aubrey Williams | Case Manager/Care Coordinator | 1533 W Warren Blvd, Chicago, IL 60607-1852 | 2020-05-11 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1720616063 | Amber Lynn Gille | Case Manager/Care Coordinator | 13262 Foxglove Ln, Winnebago, IL 61088-9012 | 2020-03-31 |
| 1467084897 | Lisa S Johnson | Case Manager/Care Coordinator | 510 Exeter Pl, Lake Forest, IL 60045-1521 | 2020-02-04 |
| 1073158085 | Danny Living | Case Manager/Care Coordinator | 1050 Freemont St, Yorkville, IL 60560-2074 | 2019-11-13 |
| 1235772864 | Rebekah Johnson | Case Manager/Care Coordinator | 208 E 87th St, Chicago, IL 60619-6040 | 2019-10-27 |
| 1558903161 | Isadora Borrero | Case Manager/Care Coordinator | 1850 W Highland Ave # F101, Elgin, IL 60123-5095 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
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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.