MRS. TINA BENSON (NPI# 1316598964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316598964 |
| Entity Type | Individual |
| Full Name | MRS. TINA BENSON |
| Practice Address |
2478 Lake Ave Fort Wayne IN 46805-5406 |
| Practice Telephone | 2603876369 |
| Practice Fax Number | 2603876370 |
| Mailing Telephone | 2603876369 |
| Mailing Fax Number | 2603876370 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
19-012089-1 | IN | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200937350A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699879 | Tina Collen Benson | Technician | 3001 3 Mile Rd, Henderson, WV 25106-9723 | 2020-08-12 |
| 1205341823 | Tina Marie Benson | Counselor | 33 Millwood St, Mill Valley, CA 94941-2037 | 2017-12-05 |
| Street Address |
2478 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013450 | Home Is Where The Heart Is Let Me Help You Help Yourself At Home Inc | Hospice Care, Community Based | 2478 Lake Ave, Fort Wayne, IN 46805-5406 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682163 | Agapeliving, Inc. | Technician | 9320 Sugar Mill Dr, Fort Wayne, IN 46835-9695 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739822 | Latorious Wilkes | Technician | 7329 Merrick Dr, Brownsburg, IN 46112-5616 | 2020-10-31 |
| 1447877303 | Quiana Wilson | Technician | 3209 Elmhurst Dr, Indianapolis, IN 46226-6221 | 2020-06-26 |
| 1881216331 | F & P Homecare, LLC | Technician | 4445 Commerce St Ste 201, Evansville, IN 47710-3677 | 2020-05-07 |
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1710549142 | Julie Baber | Technician | 1180 Coral Springs Dr, Cicero, IN 46034-9214 | 2019-07-05 |
| 1265920391 | Janet E Smith | Technician | 6843 E 52nd St, Indianapolis, IN 46226-2645 | 2018-04-24 |
| 1750886677 | Leigh Ann Hall | Technician | 2921 Corey Dr, Indianapolis, IN 46227-5839 | 2018-03-25 |
| 1326552266 | Kellee Rembert | Technician | 3106 Jackson Square Ct Apt 18103, Indianapolis, IN 46205-3262 | 2017-11-30 |
| 1972016491 | At Home Helpers Inc | Technician | 8715 Kennedy Ave, Highland, IN 46322-1642 | 2017-11-06 |
| 1780126573 | Rachel Ann Mcdermott | Technician | 513 Pine Lake Ave, La Porte, IN 46350-2316 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.