KENDALL DIVANTE LEONARD (NPI# 1245864784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245864784 |
| Entity Type | Individual |
| Full Name | KENDALL DIVANTE LEONARD |
| Practice Address |
524 N Roberts Dr Apt 2b Glenwood IL 60425-2300 |
| Mailing Address |
3646 147th Pl Apt Gn Midlothian IL 60445-3590 |
| Practice Telephone | 7086904333 |
| Mailing Telephone | 7086904333 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | V00018705 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 11295611761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295008340 | Kendall Blaine Leonard | Anesthesiology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2012-02-21 |
| Street Address |
524 N ROBERTS DR APT 2B |
| City | GLENWOOD |
| State | IL |
| Zip Code | 60425-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1073135224 | Aperion Care Glenwood LLC | Durable Medical Equipment & Medical Supplies | 19330 South College Grove Ave, Glenwood, IL 60425 | 2020-05-11 |
| 1750757159 | Guameda Eady | Nurse Practitioner | 19310 S Halsted, Jencare Neighborhood Medical Center Glenwood, LLC, Glenwood, IL 60425 | 2015-08-19 |
| 1992704217 | Michelle Meeks | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425 | 2005-07-19 |
| 1285885889 | Ck Transportation Inc | Non-emergency Medical Transport (VAN) | 18451 S Halsted St Ste 4, Glenwood, IL 60425-1009 | 2008-10-01 |
| 1265663157 | Basit G. Nisbeth | Dentist | 18430 S Halsted St, Glenwood, IL 60425-1013 | 2009-07-27 |
| 1285180554 | Bmc Family Dentistry LLC | Clinic/Center | 18430 S Halsted St, Suite 201, Glenwood, IL 60425-1013 | 2016-08-28 |
| 1013225788 | Advocate Home Health Care and Wellness Council, Inc. | Home Health | 18430 S Halsted St, 202, Glenwood, IL 60425-1013 | 2010-09-16 |
| 1588939003 | Dabrene P Goree | Social Worker | 1122 W Iowa St, Glenwood, IL 60425-1025 | 2012-03-16 |
| 1013078237 | Rochelle L Turner | Massage Therapist | 1050 W Ohio St, Glenwood, IL 60425-1031 | 2006-12-12 |
| Find all providers in zip 60425 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972971356 | Wayne Tart | Contractor | 2801 Rustic Manor Ct, Glenwood, MD 21738-9747 | 2015-09-02 |
| 1073723672 | Paul Gittings Ensor | Contractor | 14630 Burntwoods Rd, Glenwood, MD 21738-0130 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958607 | Letisha Smith | Contractor | 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 | 2020-09-29 |
| 1184249088 | Yanko I Stoykov | Contractor | 1807 W Locust Ln, Mt Prospect, IL 60056-4405 | 2020-06-16 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1477185379 | Azar Garayev | Contractor | 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 | 2020-02-07 |
| 1578031183 | Yesenia Servin | Contractor | 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 | 2018-11-13 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
| 1487157913 | Stavone Mcherron | Contractor | 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257 | 2018-03-12 |
| 1063911311 | Aaron Robert Cundall | Contractor | 107 Northview Dr, Collinsville, IL 62234-4746 | 2018-02-01 |
| 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.