JUSTIN CLARK TOLLEY (NPI# 1356699201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356699201 |
| Entity Type | Individual |
| Full Name | JUSTIN CLARK TOLLEY |
| Practice Address |
1211 Keller Dr. Mansfield OH 44905 |
| Mailing Address |
1211 Keller Dr Mansfield OH 44905-1662 |
| Practice Telephone | 4196121331 |
| Mailing Telephone | 4196121331 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
1211 KELLER DR. |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189908 | Beth Ann Sommers-souder | Social Worker | Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 | 2020-06-22 |
| 1790253706 | Alanna Dawn Higgins | Massage Therapist | 981 Ashland Road, Mansfield, OH 44905 | 2018-11-07 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1891972683 | Theresa Ann Bonnette | Massage Therapist | 812 Park Avenue East, Mansfield, OH 44905 | 2008-01-24 |
| 1730673336 | Kristine King | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2018-06-18 |
| 1881030849 | Uma Ram | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2013-05-17 |
| 1982919288 | Monica Sue Medley | Driver | 516 Fleming Falls Rd, Mansfield, OH 44905-1207 | 2010-08-11 |
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| 1407260292 | Lamont Sapp | Counselor | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2014-06-19 |
| Find all providers in zip 44905 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093114 | Jimmie Wayne Jones | Home Health Aide | 2838 Stafford Dr, Mansfield, OH 44904-9562 | 2020-11-03 |
| 1659988806 | Lynda L Jacobs | Home Health Aide | 981 Neil Cir N, Mansfield, OH 44903-7699 | 2020-09-30 |
| 1346861259 | Lareshia Annette Alfred | Home Health Aide | 1717 Martinique Dr, Mansfield, TX 76063-8547 | 2020-05-01 |
| 1699239335 | Tyjee Shakur Barrett Hobbs | Home Health Aide | 146 Buckeye Ave, Mansfield, OH 44906-2412 | 2019-01-28 |
| 1871095950 | Jordon Lee Baker | Home Health Aide | 120 Carpenter Rd, Mansfield, OH 44903-2208 | 2018-03-05 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1245638972 | Wendy Wellington | Home Health Aide | 304 Grandview Ave, Mansfield, OH 44903-4134 | 2014-12-11 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1053675017 | Penelope Spillman | Home Health Aide | 1881 Beal Rd, Mansfield, OH 44903-9175 | 2012-06-25 |
| 1518227628 | Deena Kay Liming | Home Health Aide | 889 Woodville Rd, Apt 44, Mansfield, OH 44907-2157 | 2012-05-22 |
| Find all providers in MANSFIELD | ||||
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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.