PROVIDENCE HOME HEALTH CARE INC (NPI# 1225149743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225149743 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME HEALTH CARE INC |
| Practice Address |
301 Alpha Park Highland Hts OH 44143-2237 |
| Practice Telephone | 4404421115 |
| Mailing Telephone | 4404421115 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TATYANA ZELENKOVA (ADMINISTRATOR) |
| Authorized Official Telephone | 4404421115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2443109 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2443109 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HOME HEALTH CARE INC | 425 Huehl Rd Bldg 20, Northbrook, IL 60062-2322 |
| Street Address |
301 ALPHA PARK |
| City | HIGHLAND HTS |
| State | OH |
| Zip Code | 44143-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306076 | Sabrina Renee Williams | Technician | 521 Harris Road, Richmond Heights, OH 44143 | 2020-02-04 |
| 1023531860 | Plumtree Inc | Registered Nurse | 4994 Nan Linn Dr, Richmond Heights, OH 44143 | 2017-07-24 |
| 1184154841 | Dionne S Jefferson | Home Health | 8 Washington Square Building 22, 8 Washington Square Building 22, Euclid, OH 44143 | 2017-06-15 |
| 1740736503 | Eleni Kidanu | Podiatrist | 27100, Richmond Heights, OH 44143 | 2016-08-31 |
| 1114307386 | William Naylor | Student in an Organized Health Care Education/Training Program | 21700 Chardon Rd, University Hospitals Rmc, Richmond Heights, OH 44143 | 2015-06-03 |
| 1124408687 | Kamila Phillips | Registered Nurse | 1806 Skyline Dr, Richmond Hts, OH 44143 | 2015-05-31 |
| 1154724300 | Alexander Hynd IIi | Hearing Aid Equipment | 6555 Wilson Mills Road, Mayfield Village, OH 44143 | 2014-10-02 |
| 1760892269 | Olabisi Titilola Odukoya | Student in an Organized Health Care Education/Training Program | 27155 Chardon Rd Ste 201, Cleveland, OH 44143 | 2014-05-06 |
| 1104243187 | Joyce Niba | Licensed Practical Nurse | 440 Richmond Park East C601, Richmond Hts, OH 44143 | 2014-03-27 |
| 1023448495 | Rose Mary Randle | Registered Nurse | 531 Gentry Circle West, Richmond Heights, OH 44143 | 2013-11-20 |
| Find all providers in zip 44143 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619160900 | Providence Home Care | Home Health | 230 Alpha Park, Highland Hts, OH 44143-2216 | 2007-08-21 |
| 1841720570 | Eldorado Healthcare Management, LLC | Home Health | 325 Alpha Park, Highland Hts, OH 44143-2237 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902025 | Cassandra Tubbs | Home Health | 1462 S 13th St, Coshocton, OH 43812-2661 | 2020-11-05 |
| 1376144394 | Tammy C Sanders | Home Health | 14604 Reddington Ave, Maple Heights, OH 44137-3218 | 2020-11-05 |
| 1144821273 | Kerry N Miller II | Home Health | 1020 Huffman Ct, Cincinnati, OH 45231 | 2020-11-04 |
| 1154922334 | Lisa Marie Hard | Home Health | 2000 Us Highway 23 N Lot 86, Delaware, OH 43015-8647 | 2020-11-04 |
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1396346706 | Shardonia Bianca Paguada | Home Health | 554 Elda St, Columbus, OH 43203-1105 | 2020-11-03 |
| 1750982062 | Leah Denise Nicole Dutch | Home Health | 547 Carpenter St, Akron, OH 44310-2965 | 2020-11-03 |
| 1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1558962811 | Rachel Brett Higgins | Home Health | 900 Harris Station Rd, Bainbridge, OH 45612-9734 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND HTS |
| Zip Code | 44143 |
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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.