OLON WAFER (NPI# 1265892806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265892806 |
| Entity Type | Individual |
| Full Name | OLON WAFER |
| Practice Address |
1600 Bailey Ave Ste 2 Needles CA 92363-3105 |
| Mailing Address |
2158 Sutter Way Apt 202 Bullhead City AZ 86442-9536 |
| Practice Telephone | 7603269313 |
| Mailing Telephone | 9282931773 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1600 BAILEY AVE STE 2 |
| City | NEEDLES |
| State | CA |
| Zip Code | 92363-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770618407 | Tamara Lyn Weaver | Social Worker | 1600 Bailey Ave Ste 2, Needles, CA 92363-3105 | 2007-02-22 |
| 1790320919 | Rosalie Dawn Wiley | Peer Specialist | 1600 Bailey Ave Ste 2, Needles, CA 92363-3105 | 2019-11-12 |
| 1871070672 | David Rubio | Counselor | 1600 Bailey Ave Ste 2, Needles, CA 92363 | 2018-07-24 |
| 1548644107 | Mariah Funderburg | Case Manager/Care Coordinator | 1600 Bailey Ave Ste 2, Needles, CA 92363-3105 | 2015-07-14 |
| 1508075805 | County of San Bernardino | Clinic/Center | 1600 Bailey Ave Ste 2, Needles, CA 92363-3105 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1457520942 | Community Healthcare Partner, Inc | Emergency Medicine | 1401 Bailey Avenue, Needles, CA 92363 | 2008-02-28 |
| 1457478075 | Lake Havasu Fire District | Ambulance | 148808 Havasu Lake Rd, Lake Havasu, CA 92363 | 2007-03-26 |
| 1205035862 | Donald Anderson | Counselor | 640 California Ave, Needles, CA 92363-2115 | 2007-07-13 |
| 1578642815 | Jerry Neil South | Chiropractor | 1400 Needles Hwy, Ste. 105, Needles, CA 92363-2364 | 2006-11-06 |
| 1437145299 | Willow Valley Pharmacy, Inc., Dba | Pharmacy | 1101 W Broadway St, Needles, CA 92363-2704 | 2005-09-26 |
| 1417426578 | Needles Hospice, Inc. | Hospice Care, Community Based | 813 W Broadway St Unit B, Needles, CA 92363-2727 | 2018-11-19 |
| 1598397960 | Billet Adhc Inc Needles | Clinic/Center | 901 Front St, Needles, CA 92363-2739 | 2020-02-04 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| 1396232765 | Stacia Shaver | Case Manager/Care Coordinator | 300 H St, Needles, CA 92363-2928 | 2018-04-20 |
| Find all providers in zip 92363 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232765 | Stacia Shaver | Case Manager/Care Coordinator | 300 H St, Needles, CA 92363-2928 | 2018-04-20 |
| 1548644107 | Mariah Funderburg | Case Manager/Care Coordinator | 1600 Bailey Ave Ste 2, Needles, CA 92363-3105 | 2015-07-14 |
| 1124316203 | Cynthia Hess | Case Manager/Care Coordinator | 1600 Bailey Ave, Suite 2, Needles, CA 92363-3105 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OLON WAFER.
| 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.