DALE A ILLINGWORTH (NPI# 1225658644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225658644 |
| Entity Type | Individual |
| Full Name | DALE A ILLINGWORTH |
| Practice Address |
3621 Ribbon Dr Indianapolis IN 46227-8167 |
| Practice Telephone | 3176526667 |
| Mailing Telephone | 3176526667 |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | IN | Nursing Service Related Providers |
| Street Address |
3621 RIBBON DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-8167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 |
|---|---|---|---|---|
| 1134735418 | Rebbi C Coe | Adult Companion | 4069 Tahoe Dr, Indianapolis, IN 46235-8834 | 2020-09-21 |
| 1275150963 | Dimensions of Love Home Care, LLC | Adult Companion | 7420 E 35th St, Indianapolis, IN 46226-5880 | 2020-06-29 |
| 1760012066 | Erica Hester | Adult Companion | 2104 E Washington St, Indianapolis, IN 46201-4131 | 2020-01-25 |
| 1841837655 | Annectrice Franklin | Adult Companion | 9165 Otis Ave Ste 262, Indianapolis, IN 46216-2315 | 2019-12-01 |
| 1235620550 | Tania Narissa Beasley | Adult Companion | 3250 Oceanline East Dr, Indianapolis, IN 46214-4158 | 2018-05-22 |
| 1386160745 | Allied Homes Services Inc. | Adult Companion | 5146 W Pike Plaza Rd, Indianapolis, IN 46254-3003 | 2017-08-17 |
| 1316426885 | Jaquita Latress Savage | Adult Companion | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-07 |
| 1801026075 | Nekitta Nicole Mcclendon | Adult Companion | 412 E 21st St, Indianapolis, IN 46202-1624 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851759 | Latasha N Robinson | Adult Companion | 376 W Haydn Dr Apt 925, Carmel, IN 46032-7051 | 2020-02-01 |
| 1407492176 | Robin Sharp | Adult Companion | 6554 N Forrest St, Eminence, IN 46125 | 2019-11-18 |
| 1316598964 | Tina Benson | Adult Companion | 2478 Lake Ave, Fort Wayne, IN 46805-5406 | 2019-09-25 |
| 1922577352 | Mary M Devoe | Adult Companion | 2316 N 11th St, Terre Haute, IN 47804-2319 | 2018-11-14 |
| 1710415757 | Community Outreach Advocates Incorporated | Adult Companion | 3440 171st Pl, Hammond, IN 46323-2807 | 2017-06-02 |
| 1396126033 | Rosemary's Angels LLC | Adult Companion | 110 E 300 N, Anderson, IN 46012-1202 | 2015-06-17 |
| 1912397811 | Elite Personal Care LLC | Adult Companion | 157 Inman Ct, Bedford, IN 47421-9628 | 2015-01-29 |
| 1487044731 | Christopher Ruley | Adult Companion | 5803 Elderberry Rd, Noblesville, IN 46062-9340 | 2015-01-26 |
| 1952586257 | Tammi Sue Hamby | Adult Companion | 8330 W County Road 450 S, Shirley, IN 47384-9691 | 2008-01-04 |
| 1083808034 | Ronald A. Smith | Adult Companion | 11144 Us 50, Dillsboro, IN 47018-8415 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.