LATISHIA PORTER (NPI# 1174888333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174888333 |
| Entity Type | Individual |
| Full Name | LATISHIA PORTER |
| Practice Address |
8936 Mayfield Ct Saint Louis MO 63136-5054 |
| Practice Telephone | 3147245460 |
| Mailing Telephone | 3147245460 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245624543 | Latishia Porter | Technician, Other | 14491 Edmore Dr, Detroit, MI 48205-1259 | 2015-03-25 |
| Street Address |
8936 MAYFIELD CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588927842 | Care4ages LLC | Technician | 8936 Mayfield Ct, Saint Louis, MO 63136-5054 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1346870664 | Honor Cds LLC | Technician | 7918 Delmar Blvd # A, Saint Louis, MO 63130-3715 | 2020-01-26 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1417508060 | Ca Home Health Care Services LLC | Technician | 2216 Normandy Dr, Saint Louis, MO 63121-4732 | 2019-09-25 |
| 1003389412 | Sharron Roshelle Mcjames | Technician | 1916 Marywell Dr, Saint Louis, MO 63138-1125 | 2019-01-08 |
| 1407336373 | Asg Cds LLC | Technician | 5261 Delmar Blvd Ste C, Saint Louis, MO 63108-1063 | 2018-08-20 |
| 1316446461 | Denise L Nettles | Technician | 7229 Pasadena Blvd, Saint Louis, MO 63121-2914 | 2018-02-05 |
| 1295249274 | Andrew Perry Bliss | Technician | 10054 Willdan Dr Apt B, Saint Louis, MO 63123-5121 | 2017-11-28 |
| 1811409816 | Simplicity In Home Health Care Services, LLC | Technician | 6768 Vernon Ave, Saint Louis, MO 63130-2522 | 2017-10-30 |
| 1871041632 | My Mothers Wish Home Health Services LLC | Technician | 7004 Plymouth Ave, Saint Louis, MO 63130-2451 | 2016-09-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
Please comment or provide details below to improve the information on LATISHIA PORTER.
| 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.