EVETTE SHIELDS (NPI# 1326594201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326594201 |
| Entity Type | Individual |
| Full Name | EVETTE SHIELDS |
| Practice Address |
1617 Parkridge Circle #152 Crofton MD 21114 |
| Practice Telephone | 2024838018 |
| Mailing Telephone | 2024838018 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| 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 | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
1617 PARKRIDGE CIRCLE #152 |
| City | CROFTON |
| State | MD |
| Zip Code | 21114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| 1093011611 | Ndidi I Harley | Chiropractor | 1641 Rt 3 North, Suite 203, Crofton, MD 21114 | 2011-01-28 |
| Find all providers in zip 21114 | ||||
| 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 |
|---|---|---|---|---|
| 1073149852 | Fatoumata Tamadou | Adult Companion | 4625 Horizon Cir Apt 102, Pikesville, MD 21208-6801 | 2020-03-12 |
| 1588203137 | Marcia Benfica | Adult Companion | 12119 Triple Crown Rd, North Potomac, MD 20878-3788 | 2019-12-30 |
| 1558909804 | Lawanda Michelle Thomas | Adult Companion | 4301 23rd Pkwy Apt 213, Temple Hills, MD 20748-4449 | 2019-12-17 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1588217822 | Abundant Care Services | Adult Companion | 1045 Taylor Ave Ste 15, Towson, MD 21286-8328 | 2019-07-16 |
| 1538628169 | Bianca Thompson | Adult Companion | 7476 Catterick Ct, Baltimore, MD 21244-5600 | 2019-03-13 |
| 1710442876 | Fatuma Kedir Ahmed | Adult Companion | 9743 Softwater Way, Columbia, MD 21046-1815 | 2019-02-04 |
| 1174095269 | Jomesa De'lice Blair | Adult Companion | 315 Mountain Ridge Ct Apt C, Glen Burnie, MD 21061-1343 | 2018-12-30 |
| 1609346469 | Adewale Adeniran Adenuga | Adult Companion | 9763 Good Luck Rd Apt 8, Lanham, MD 20706-3330 | 2018-12-04 |
| 1326522046 | Luther Boyd Sullivan | Adult Companion | 317 Bryan Pl, Hagerstown, MD 21740-4534 | 2018-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EVETTE SHIELDS.
| 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.