MRS. CAROL JO JENKS (NPI# 1275184897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275184897 |
| Entity Type | Individual |
| Full Name | MRS. CAROL JO JENKS |
| Practice Address |
838 Vay Rd Priest River ID 83856-7768 |
| Mailing Address |
268 Jenks Rd Spirit Lake ID 83869-9391 |
| Practice Telephone | 2085975196 |
| Mailing Telephone | 2086615627 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
838 VAY RD |
| City | PRIEST RIVER |
| State | ID |
| Zip Code | 83856-7768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1104316785 | Pend Oreille Vision Care | Clinic/Center | 6132 Highway 2, Priest River, ID 83856 | 2018-05-18 |
| 1700209061 | Sequel Alliance Family Services, LLC | Counselor | 5486 Highway 2 Ste102, Priest River, ID 83856 | 2014-01-22 |
| 1801035878 | Albeni-selkirk Counseling Services | Community/Behavioral Health | 310 Albeni Rd., Ste. B, Priest River, ID 83856 | 2009-02-13 |
| 1679764898 | Healing Partners Equestrian Program | Community/Behavioral Health | 1605 Hoodoo Mt. Road, Priest River, ID 83856 | 2007-08-05 |
| 1710191796 | Delores Dianne Miller | Massage Therapist | 208 9th, Priest River, ID 83856 | 2007-05-09 |
| 1639382419 | Ken Miller | Massage Therapist | 208 Ninth St, Priest River, ID 83856 | 2007-05-08 |
| 1861619520 | Alliance Family Services North, Inc. | Community/Behavioral Health | 5486 Highway 2, Ste. 102, Priest River, ID 83856 | 2007-04-20 |
| 1376681460 | Lynne Anne Certain | Counselor | 301 Albeni Rd., Suite C, Priest River, ID 83856 | 2007-02-02 |
| 1093702227 | Richard Allan De Blaquiere | Pharmacist | 5453 Highway 2, Priest River, ID 83856 | 2005-10-03 |
| Find all providers in zip 83856 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356612 | Golden Hour Care Services, LLC | Technician | 3185 S Apple St Apt 104, Boise, ID 83706-6823 | 2020-11-04 |
| 1275175879 | Katrina Davis | Technician | 1723 Upper Mann Creek Rd, Weiser, ID 83672-5551 | 2019-10-15 |
| 1578112165 | Sally S Asker | Technician | 8125 S Legolas Pl, Boise, ID 83709-7388 | 2019-09-06 |
| 1982253662 | Catherine A Ballard | Technician | 3540 Wills Rd, Emmett, ID 83617-9440 | 2019-09-05 |
| 1497302715 | Jennifer Bowen | Technician | 263 Indian Creek Rd, Hailey, ID 83333-8493 | 2019-08-21 |
| 1194370023 | Kathryn Lorraine Huskey | Technician | 2421 Hague Rd, Midvale, ID 83645-5111 | 2019-08-07 |
| 1366097362 | Ann-toy Ellsworth Broughton | Technician | 10570 Rammell Mountain Rd, Tetonia, ID 83452-4971 | 2019-08-06 |
| 1780222190 | Joshua Carl Stephenson | Technician | 30 Maple Dr, Weiser, ID 83672-1566 | 2019-12-16 |
| 1891345641 | Brandi H Hudson | Technician | 30 Maple Dr, Weiser, ID 83672-1566 | 2019-09-13 |
| City | PRIEST RIVER |
| Zip Code | 83856 |
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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.