NATHALIA MENICUCCI (NPI# 1154969194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154969194 |
| Entity Type | Individual |
| Full Name | NATHALIA MENICUCCI |
| Practice Address |
3940 N Clark St Apt 407 Chicago IL 60613-2625 |
| Practice Telephone | 7862225646 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0630198732 | 05 |
| Street Address |
3940 N CLARK ST APT 407 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997928 | Shauntay Marie Freeman | Adult Companion | 5424 W Van Buren St, Chicago, IL 60644-4744 | 2019-02-07 |
| 1619401445 | Kolawole Peters | Adult Companion | 7454 N Oakley Ave, Chicago, IL 60645-1910 | 2017-04-18 |
| 1093178972 | Desiree A Nimmer | Adult Companion | 11415 S Throop St, Chicago, IL 60643-4439 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1396396107 | Ms Care, Inc. | Adult Companion | 228 Florence St, Crystal Lake, IL 60014-5777 | 2019-09-23 |
| 1578121877 | Kelly Hutchison | Adult Companion | 450 E Higgins Rd Ste 102, Elk Grove Village, IL 60007-1417 | 2019-05-31 |
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1285112086 | Kimberly Cepak | Adult Companion | 113 Ashland Ave, River Forest, IL 60305-2105 | 2018-08-02 |
| 1326525528 | Lisa Edwards | Adult Companion | 24020 W Riverwalk Ct Ste 122, Plainfield, IL 60544-7126 | 2018-07-20 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1164816690 | Nyesha King | Adult Companion | 326 W H St Apt 7, Swansea, IL 62226-4331 | 2015-03-23 |
| 1295128122 | Shawnice Randle | Adult Companion | 322 Sauganash St, Park Forest, IL 60466-2227 | 2015-03-17 |
| 1649661547 | Elsy Cecilia Fuentes | Adult Companion | 118 Des Plaines Ave, Forest Park, IL 60130-1004 | 2015-02-12 |
| 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.