SHANIQUA CARMEN HAZLIP (NPI# 1235782004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235782004 |
| Entity Type | Individual |
| Full Name | SHANIQUA CARMEN HAZLIP |
| Practice Address |
1 Elizabeth Pl Dayton OH 45417-3445 |
| Mailing Address |
715 Sennett St Miamisburg OH 45342-1850 |
| Practice Telephone | 9378131737 |
| Mailing Telephone | 9373695910 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 170841 | OH | Residential Treatment Facilities |
| Street Address |
1 ELIZABETH PL |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228115 | Paulette L Cundy-melzer | Nurse Anesthetist, Certified Registered | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2005-07-13 |
| 1619577210 | Leah Kathryn Obermeyer | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-11-01 |
| 1144837196 | Emily Anne Denterlein | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-09-24 |
| 1235742313 | Angela K Haughn | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-28 |
| 1225641475 | Cheyenne M Mcreynolds | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-27 |
| 1043823289 | Marisa C Beckner | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-27 |
| 1265045405 | Angela V Huff | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-27 |
| 1033721949 | Shantell S Oglesby | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
| 1518579390 | Phyllis J Stewart | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
| 1134731052 | Arthur C Franklin | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598327405 | Eliminating Barriers & Conquering Goals LLC | Substance Abuse Rehabilitation Facility | 4825 Hassan Cir Apt 2, Dayton, OH 45432-1315 | 2019-07-01 |
| 1023558889 | All Roads Recovery LLC | Substance Abuse Rehabilitation Facility | 411 Ryburn Ave Apt 1, Dayton, OH 45405-2560 | 2017-02-27 |
| 1679011787 | We Do Recover Ministry | Substance Abuse Rehabilitation Facility | 1722 Home Ave, Dayton, OH 45402-6918 | 2017-02-09 |
| 1568845634 | Jcorbittllc | Substance Abuse Rehabilitation Facility | 3688 Wales Drive, Dayton, OH 45406-2439 | 2015-07-07 |
| 1962768283 | Transitions, Inc. | Substance Abuse Rehabilitation Facility | 925 5th Ave, Dayton, KY 41074-1305 | 2012-04-11 |
| 1578647095 | Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 581 Infirmary Road, Dayton, OH 45427 | 2006-10-24 |
| 1548217748 | Nova Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 732 Beckman Street, Dayton, OH 45410-2165 | 2006-05-31 |
| 1346897295 | 2ndchancehaven | Substance Abuse Rehabilitation Facility | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2019-08-23 |
| 1639652084 | Sunrise Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 1435 Cincinnati St Ste 150, Dayton, OH 45417-4614 | 2018-09-12 |
| 1538670922 | Jeffrey Hoglund | Substance Abuse Rehabilitation Facility | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2017-10-12 |
| Find all providers in DAYTON | ||||
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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.