ELISEE NDENGA (NPI# 1295134666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295134666 |
| Entity Type | Individual |
| Full Name | ELISEE NDENGA |
| Practice Address |
442 Stone Shadow Dr Blacklick OH 43004 |
| Mailing Address |
442 Stone Shadow Dr Blacklick OH 43004-8097 |
| Practice Telephone | 6142185743 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171WV0202X |
Contractor Specialization: Vehicle Modifications |
Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
442 STONE SHADOW DR |
| City | BLACKLICK |
| State | OH |
| Zip Code | 43004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919191 | Deborah Byrd | Homemaker | 1571 Morrison Farms Dr, Blacklick, OH 43004 | 2020-10-12 |
| 1477106706 | Star of The East Home Health Agency | Home Health | 634 Streamwater Dr, Blacklick, OH 43004 | 2019-07-16 |
| 1568965689 | Amerti Mekonnen Terefe | Registered Nurse | 579 Altona Drive, Blacklick, OH 43004 | 2018-03-15 |
| 1134643471 | Gahanna Home Healthcare Agency, LLC | Private Vehicle | 7451 Bunker Ridge Ct, Blacklick, OH 43004 | 2017-07-28 |
| 1770972143 | Aetna Provider Service | In Home Supportive Care | 8514 Arlen Drive, Blacklick, OH 43004 | 2015-01-22 |
| 1215368121 | Stacia Barnhill | Home Health Aide | 215 Bexhill Dr, Blacklick, OH 43004 | 2013-12-02 |
| 1720328016 | Roland Lovinsky | Licensed Practical Nurse | 7795 Worley Drive, Blacklick, OH 43004 | 2013-02-22 |
| 1477815892 | Kingsley Eyong Enow | Licensed Practical Nurse | 301 Heatherbridge Lane, 301 Heatherbridge Lane, Blacklick, OH 43004 | 2012-06-12 |
| 1013208271 | Wilberforce Eric Okotah | Licensed Practical Nurse | 7928 Waggoner Trace Drive, Blacklick, OH 43004 | 2011-04-22 |
| 1770881229 | Havens Urgent Care | Clinic/Center | 1582 Waggoner Rd, Blacklick, OH 43004 | 2011-03-08 |
| Find all providers in zip 43004 | ||||
| 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 |
|---|---|---|---|---|
| 1801497888 | Kelly Nichole Mcintyre | Case Manager/Care Coordinator | 328 S Stadium Dr, Xenia, OH 45385-2161 | 2020-11-05 |
| 1285235580 | Andrea Temeka Hill | Case Manager/Care Coordinator | Boundless Behavioral Health, Worthington, OH 43085-3183 | 2020-11-03 |
| 1114528775 | Trinka Louise Glenn | Case Manager/Care Coordinator | 6400 E Broad St # F14, Columbus, OH 43213-2086 | 2020-11-02 |
| 1457951097 | James P Watkins Jr. | Case Manager/Care Coordinator | 955 Snowfall Spur Apt B, Akron, OH 44313-4966 | 2020-10-30 |
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1164022182 | George Atta Owusu | Case Manager/Care Coordinator | 407 Lemery Dr, Columbus, OH 43213-4482 | 2020-10-28 |
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1780284216 | April Lee | Case Manager/Care Coordinator | 900 W South Boundary St Bldg 6, Perrysburg, OH 43551-5235 | 2020-10-26 |
| 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.