BREANNA BLUE (NPI# 1144776782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144776782 |
| Entity Type | Individual |
| Full Name | BREANNA BLUE |
| Other Name | BREANNA MATHIS |
| Practice Address |
90 Kron St Rochester NY 14619-2036 |
| Practice Telephone | 5853972675 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
90 KRON ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14619-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366804841 | Simple Care In Your Home | In Home Supportive Care | 90 Kron St, Rochester, NY 14619-2036 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910430 | Cotton Blue Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 Genesee Park Blvd, Rochester, NY 14619 | 2019-09-04 |
| 1700342714 | Shalom Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 84 Penhurst St, Rochester, NY 14619 | 2019-02-14 |
| 1639656689 | Dl Nursing Services | Licensed Practical Nurse | 116 Kingsboro Rd, Rochester, NY 14619 | 2018-07-23 |
| 1790206720 | Albert Tomlin Jr. | Driver | 121 Aberdeen St, Rochester, NY 14619 | 2017-06-29 |
| 1760915995 | Irie Transportation Associated | Taxi | 8-b Bradburn St, Rochester, NY 14619 | 2017-04-05 |
| 1902265366 | Trifena Browning | Licensed Practical Nurse | 167 Normandy Ave, Rochester, NY 14619 | 2016-02-15 |
| 1144663154 | Lehana Doctor | Social Worker | 107 Norris Drive, Suite D, Rochester, NY 14619 | 2013-04-09 |
| 1003190745 | Tanis Sharon Bridges | Registered Nurse | 261 Elmdorf Avenue, Rochester, NY 14619 | 2011-09-29 |
| 1386965853 | Pelecia Bordeaux | Licensed Practical Nurse | 340 Thurston Rd, Rochester, NY 14619 | 2010-06-18 |
| 1083933477 | Antoniece Keyonia-renee Poole | Licensed Practical Nurse | 77 Ringle St., Rochester, NY 14619 | 2010-05-25 |
| Find all providers in zip 14619 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609694 | Cardinal of Minnesota, Ltd. | In Home Supportive Care | 3008 Wellner Dr Ne, Rochester, MN 55906-8427 | 2019-06-26 |
| 1093279556 | Michelle T Stanley | In Home Supportive Care | 120 Wendhurst Dr, Rochester, NY 14616-3806 | 2019-01-29 |
| 1699270330 | Advantage Home Care, LLC | In Home Supportive Care | 127 Lucinda Ln, Rochester, NY 14626-1286 | 2018-03-26 |
| 1568962835 | Constant Care | In Home Supportive Care | 66 Kittling Ridge Ln, Rochester, NY 14612-1270 | 2018-02-13 |
| 1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1366804841 | Simple Care In Your Home | In Home Supportive Care | 90 Kron St, Rochester, NY 14619-2036 | 2016-03-24 |
| 1598005886 | Beech Development Corp | In Home Supportive Care | 3380 Monroe Ave Ste 112, Rochester, NY 14618-4726 | 2013-02-22 |
| 1154668234 | Caring Hearts of Rochester, LLC | In Home Supportive Care | 95 Allens Creek Rd Building 2 Suite 242, Rochester, NY 14618 | 2013-01-10 |
| 1225375470 | Medical Solutions, Inc. | In Home Supportive Care | 135 W Ridge Rd, Rochester, NY 14615-3554 | 2013-01-08 |
| Find all providers in ROCHESTER | ||||
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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.