MS. HALLEY IRENE CRUMB


Address: 16236 N Lake St, Madera, CA 93638-1615
Phone: 6504610433

MS. HALLEY IRENE CRUMB (NPI# 1164041687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164041687
Entity Type Individual
Full Name MS. HALLEY IRENE CRUMB
Credential ADULT RESIDENTIAL
Practice Address 16236 N Lake St
Madera
CA 93638-1615
Mailing Address 2785 Joseph Ave Apt 4
Campbell
CA 95008-6259
Practice Telephone 6504610433
Mailing Telephone 6504610433
Enumeration Date 2020-04-14
Last Update Date 2020-04-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
6031500735 CA Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA COMMUNITY CARE LICENSE DIVISION 6031500735 01

Office Location

Street Address 16236 N LAKE ST
City MADERA
State CA
Zip Code 93638-1615

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639644628 Kevin Violette Physician Assistant 344 E Sixth Street, Madera, CA 93638 2018-10-05
1265939185 Kimberly Lenise Bradley Clinic/Center 1159 Country Club Drive, Madera, CA 93638 2018-04-08
1255849584 Cathy Castillo Technician, Health Information 2935113 1/2 Ave, Madera, CA 93638 2018-01-22
1164944195 Xavier Pablo Garcia Case Manager/Care Coordinator 14241 Road, Madera, CA 93638 2017-07-12
1568982460 Cruz Amelia Macias Case Manager/Care Coordinator 14241 Rd 28, Madera, CA 93638 2017-06-21
1144699588 Joanna Arredondo Counselor 344 E. 6th St., Madera, CA 93638 2015-09-16
1144625997 Pushkal Jadaun Internal Medicine 124 Sa Street, Madera, CA 93638 2014-10-22
1598022600 Valarie Ann Shaffer Counselor 14227 Road 28, Madera, CA 93638 2012-04-13
1053555904 Patricia Ann Alexander Nurse Practitioner 344 E. 4th St, Madera, CA 93638 2009-04-22
1629246913 Lynn Doyle Cogdill Technician, Other 14427 Road 28, Madra, CA 93638 2008-02-20
Find all providers in zip 93638

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043869225 Somjai Young Technician 3153 W Almond Ave, Madera, CA 93637-8843 2019-09-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487691 Hine Maumalanga Technician 1094 Folsom Ave, Hayward, CA 94544-5704 2020-11-05
1649871765 Charles Leroy Appleberry II Technician 1100 S Chester Ave, Compton, CA 90221-4312 2020-11-04
1902407174 Ryan Allen Merrell Technician 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 2020-11-04
1083212476 Christina Elisabeth Brunn Technician 2818 Huxley Pl, Fremont, CA 94555-1416 2020-10-16
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1730795543 Corina Rochelle Burch Technician 3706 Calavo Dr, Spring Valley, CA 91977-1903 2020-09-17
1033724729 Cinta Latrece Moore Technician 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 2020-09-10
1598379398 Trina Diane Brown Technician 115 W Zane St, Long Beach, CA 90805-6327 2020-08-31
1437760766 Jeri Lyn Allen-smith Technician 9228 Allano Way, Santee, CA 92071-2202 2020-08-11
1750991667 Natalie Mari Norman Technician 5013 Englewood Dr, San Jose, CA 95129-4232 2020-08-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City MADERA
Zip Code 93638

Improve Information

Please comment or provide details below to improve the information on MS. HALLEY IRENE CRUMB.

Dataset Information

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.

Trending Searches