MR. ADDISU HAILE (NPI# 1336369438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336369438 |
| Entity Type | Individual |
| Full Name | MR. ADDISU HAILE |
| Other Name | MR. ADDISU HAILE |
| Practice Address |
1733 Vine Street Denver CO 80206 |
| Mailing Address |
2564 Dexter Street Denver CO 80207 |
| Practice Telephone | 3035041000 |
| Practice Fax Number | 3033949820 |
| Mailing Telephone | 3033555341 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1733 VINE STREET |
| City | DENVER |
| State | CO |
| Zip Code | 80206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417287004 | Tracy Lynn Clifton | Licensed Practical Nurse | 1733 Vine Street, Denver, CO 80206 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| 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 |
|---|---|---|---|---|
| 1548875321 | Charron Lekisha Johnson | Case Manager/Care Coordinator | 12324 Bannock St Unit 14202, Denver, CO 80234-2156 | 2020-09-09 |
| 1306476072 | Rebecca Romelle Paintin | Case Manager/Care Coordinator | 3500 Rockmont Dr, Denver, CO 80202-1070 | 2020-01-22 |
| 1023663218 | Crystal Ann Juhl | Case Manager/Care Coordinator | 4455 E 12th Ave Fl 4, Denver, CO 80220-2415 | 2019-08-05 |
| 1790345551 | Dana A Ready | Case Manager/Care Coordinator | 5121 E Yale Ave Apt 101, Denver, CO 80222-6955 | 2019-06-14 |
| 1417413014 | Patient Pathways, LLC | Case Manager/Care Coordinator | 2001 16th Street, (casa Vida 18.30.1), Denver, CO 80202 | 2019-02-19 |
| 1255896429 | Focus Care, Inc. | Case Manager/Care Coordinator | 6825 E Tennessee Ave Ste 532, Denver, CO 80224-1628 | 2019-02-01 |
| 1346719259 | Alyssa Anna-marie Nazario | Case Manager/Care Coordinator | 4455 E 12th Ave # 80220, Denver, CO 80220-2415 | 2018-11-20 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1023522851 | Megan Renee Derschang | Case Manager/Care Coordinator | 1357 N Williams St, Denver, CO 80218-2691 | 2017-12-01 |
| 1720597735 | Lindsey Christine Naseh | Case Manager/Care Coordinator | 1331 Cherokee St, Denver, CO 80204-2720 | 2017-09-21 |
| Find all providers in DENVER | ||||
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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.