KITIA MCCULLOUGH (NPI# 1366960213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366960213 |
Entity Type | Individual |
Full Name | KITIA MCCULLOUGH |
Practice Address |
1012 Riverclift Dr Covington GA 30016-8945 |
Mailing Address |
863 Flat Shoals Rd Se Ste C161 Conyers GA 30094-6633 |
Practice Telephone | 7188076845 |
Mailing Telephone | 7188076845 |
Enumeration Date | 2017-08-30 |
Last Update Date | 2017-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 374U00000X | Home Health Aide | GA | Nursing Service Related Providers |
Street Address |
1012 RIVERCLIFT DR |
City | COVINGTON |
State | GA |
Zip Code | 30016-8945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
Find all providers in zip 30016 |
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 |
---|---|---|---|---|
1881211589 | Tonigah Tanae Thompson | Home Health Aide | 102 Promontory Dr # 1, Covington, KY 41015-2055 | 2020-06-29 |
1649896168 | Dashia N Hall | Home Health Aide | 3826 Winston Ave Ste 300, Covington, KY 41015-1458 | 2020-06-20 |
1588299879 | Leticia L Gallemore | Home Health Aide | 45 E Lawn Way, Covington, GA 30016-6824 | 2020-03-06 |
1871074021 | Sophia Baker | Home Health Aide | 422 J J Ln, Covington, LA 70433-6989 | 2018-08-26 |
1306238613 | Cheryl Saddler | Home Health Aide | 130 Mountainview Dr, Covington, GA 30016-7167 | 2015-02-23 |
1942628482 | S Dawn Bowles | Home Health Aide | 2565 Fairview Rd, Covington, GA 30016-1122 | 2014-04-02 |
1548553159 | Angel Ann Purvis | Home Health Aide | 12641 Brown Bridge Rd Lot 9, Covington, GA 30016-2919 | 2011-05-16 |
1639270507 | Manda Kristin Plessinger | Home Health Aide | 529 N High St, Covington, OH 45318-1415 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
1417557661 | Turkessa Moody | Home Health Aide | 103 Tappan Zee Dr, Pooler, GA 31322-9440 | 2020-10-27 |
1447850706 | Ondra L Little | Home Health Aide | 101 Saint George Blvd Apt 6t, Savannah, GA 31419-9348 | 2020-10-27 |
1063019834 | Latoya Marie Jones | Home Health Aide | 8185 Englewood Trl, Riverdale, GA 30274-4246 | 2020-10-05 |
1295342467 | Zinobia S Clark | Home Health Aide | 7412 Johnny Mercer Blvd # 1, Savannah, GA 31410-2434 | 2020-09-30 |
1407463383 | Aurora Uwase | Home Health Aide | 6437 Wood Cir W, Morrow, GA 30260-1732 | 2020-09-25 |
1750998506 | Shynalee Natividad Ayala | Home Health Aide | 410 Wesley Club Dr, Decatur, GA 30034-2328 | 2020-09-25 |
1558976050 | Denisha L Moss | Home Health Aide | 448 Harris Dr, Conyers, GA 30012-6516 | 2020-09-10 |
1548874548 | Terrance Argrow | Home Health Aide | 6304 Garrard Ave Ste B, Savannah, GA 31405-2737 | 2020-09-07 |
Find all providers with the same taxonomy |
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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.