JAQUITA LATRESS SAVAGE (NPI# 1316426885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316426885 |
| Entity Type | Individual |
| Full Name | JAQUITA LATRESS SAVAGE |
| Practice Address |
9941 E 42nd St Indianapolis IN 46235-1675 |
| Practice Telephone | 3173408481 |
| Mailing Telephone | 3173408481 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9941 E 42nd St, Indianapolis, IN 462351675 | 3173408481 |
| Street Address |
9941 E 42ND ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46235-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576877 | Kreation Residential Services | Day Training, Developmentally Disabled Services | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
| 1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
| 1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
| 1386134690 | Kaitlin Abigail Waltz | Behavior Technician | 9905 Fall Creek Rd., Indianapolis, IN 46235 | 2018-05-11 |
| 1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
| 1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
| 1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
| 1366869828 | Mark M. Jamerson | Counselor | 9612 English Oak Dr, Indianapolis, IN 46235-1100 | 2014-03-23 |
| 1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| Find all providers in zip 46235 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735418 | Rebbi C Coe | Adult Companion | 4069 Tahoe Dr, Indianapolis, IN 46235-8834 | 2020-09-21 |
| 1275150963 | Dimensions of Love Home Care, LLC | Adult Companion | 7420 E 35th St, Indianapolis, IN 46226-5880 | 2020-06-29 |
| 1225658644 | Dale A Illingworth | Adult Companion | 3621 Ribbon Dr, Indianapolis, IN 46227-8167 | 2020-04-26 |
| 1760012066 | Erica Hester | Adult Companion | 2104 E Washington St, Indianapolis, IN 46201-4131 | 2020-01-25 |
| 1841837655 | Annectrice Franklin | Adult Companion | 9165 Otis Ave Ste 262, Indianapolis, IN 46216-2315 | 2019-12-01 |
| 1235620550 | Tania Narissa Beasley | Adult Companion | 3250 Oceanline East Dr, Indianapolis, IN 46214-4158 | 2018-05-22 |
| 1386160745 | Allied Homes Services Inc. | Adult Companion | 5146 W Pike Plaza Rd, Indianapolis, IN 46254-3003 | 2017-08-17 |
| 1801026075 | Nekitta Nicole Mcclendon | Adult Companion | 412 E 21st St, Indianapolis, IN 46202-1624 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851759 | Latasha N Robinson | Adult Companion | 376 W Haydn Dr Apt 925, Carmel, IN 46032-7051 | 2020-02-01 |
| 1407492176 | Robin Sharp | Adult Companion | 6554 N Forrest St, Eminence, IN 46125 | 2019-11-18 |
| 1316598964 | Tina Benson | Adult Companion | 2478 Lake Ave, Fort Wayne, IN 46805-5406 | 2019-09-25 |
| 1922577352 | Mary M Devoe | Adult Companion | 2316 N 11th St, Terre Haute, IN 47804-2319 | 2018-11-14 |
| 1710415757 | Community Outreach Advocates Incorporated | Adult Companion | 3440 171st Pl, Hammond, IN 46323-2807 | 2017-06-02 |
| 1396126033 | Rosemary's Angels LLC | Adult Companion | 110 E 300 N, Anderson, IN 46012-1202 | 2015-06-17 |
| 1912397811 | Elite Personal Care LLC | Adult Companion | 157 Inman Ct, Bedford, IN 47421-9628 | 2015-01-29 |
| 1487044731 | Christopher Ruley | Adult Companion | 5803 Elderberry Rd, Noblesville, IN 46062-9340 | 2015-01-26 |
| 1952586257 | Tammi Sue Hamby | Adult Companion | 8330 W County Road 450 S, Shirley, IN 47384-9691 | 2008-01-04 |
| 1083808034 | Ronald A. Smith | Adult Companion | 11144 Us 50, Dillsboro, IN 47018-8415 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46235 |
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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.