THEODORA J MARZOUK (NPI# 1174045744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174045744 |
| Entity Type | Individual |
| Full Name | THEODORA J MARZOUK |
| Practice Address |
3317 Elm Street Suite 202 Oakland CA 94609 |
| Mailing Address |
3317 Elm St Ste 202 Oakland CA 94609-3053 |
| Practice Telephone | (510) 923-9790 |
| Practice Fax Number | 5109239599 |
| Mailing Telephone | 5109239790 |
| Mailing Fax Number | 5109239599 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 020000416 | CA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME HEALTH LICENSE | 020000416 | 01 |
| Street Address |
3317 ELM STREET SUITE 202 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| 1366984379 | Donnie Gayfield | Social Worker | 842 California Street, San Francisco, CA 94609 | 2016-11-08 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104307842 | Travis Moulton | Home Health Aide | 708 Fairfield St, Oakland, ME 04963-5220 | 2018-08-21 |
| 1780058511 | Fon Trans | Home Health Aide | 50 Harbor Oaks Cv, Oakland, TN 38060-6069 | 2015-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275786 | Michael R Mantong | Home Health Aide | 16152 Beach Blvd Ste 279, Huntington Beach, CA 92647-3825 | 2020-11-04 |
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1992304406 | Sunshine Solutions Group | Home Health Aide | 5448 Rider Pl, San Diego, CA 92130-3747 | 2020-10-26 |
| 1245844265 | Rosie Hatchkhan | Home Health Aide | 23820 Ironwood Ave Spc 194, Moreno Valley, CA 92557-8137 | 2020-09-08 |
| 1285248260 | Randi Mcwilliams | Home Health Aide | 25835 Narbonne Ave Ste 200c, Lomita, CA 90717-7214 | 2020-09-07 |
| 1912519356 | Patricia Ann Bajorek | Home Health Aide | 338 Northridge Drive B835, Tahoma, CA 96142 | 2020-08-18 |
| 1477164309 | Rosemary K Parmar | Home Health Aide | 6200 Sun River Dr, Sacramento, CA 95824-4411 | 2020-08-13 |
| 1982213385 | Mek Home Health Care, Inc. | Home Health Aide | 8000 Wheatland Ave Ste A, Sun Valley, CA 91352-5316 | 2020-07-31 |
| 1891313284 | Casademckenziehomecareservices | Home Health Aide | 1361 Snyder Ave, Modesto, CA 95356-8901 | 2020-07-11 |
| 1528686284 | Pamela Patterson | Home Health Aide | 31712 Via Ana, San Juan Capistrano, CA 92675-3029 | 2020-07-09 |
| 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.