DESTINY BULLOCK (NPI# 1407367519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407367519 |
| Entity Type | Individual |
| Full Name | DESTINY BULLOCK |
| Practice Address |
5301 Zephyr Ave Clinton MD 20735-1552 |
| Practice Telephone | 2409387537 |
| Mailing Telephone | 2409387537 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
5301 ZEPHYR AVE |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| 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 |
|---|---|---|---|---|
| 1942859715 | Compassionate Caregivers for Me, LLC | Technician | 596 Hinckley Rd, Clinton, ME 04927-3619 | 2019-09-05 |
| 1629559943 | Olumiyiwa Sally Fapohunda II | Technician | 9024 Old Branch Ave Apt 8, Clinton, MD 20735-2594 | 2018-08-24 |
| 1427542042 | Erika R Brown | Technician | 3505 Strawberry Hill Dr, Clinton, MD 20735-4575 | 2018-06-18 |
| 1356859094 | Annie Walker | Technician | 9016 Spring Acres Rd, Clinton, MD 20735-2737 | 2018-01-16 |
| 1407369549 | Lauren Francis | Technician | 7613 Castle Rock Dr, Clinton, MD 20735-1879 | 2017-11-12 |
| 1871014845 | Niyah Simone Brewer | Technician | 7319 Branchwood Ter, Clinton, MD 20735-2152 | 2017-06-29 |
| 1841356250 | Semica Parker | Technician | 421 Warsaw Rd, Clinton, NC 28328-3550 | 2006-12-29 |
| 1275601445 | Quality In Home Care Agency Inc | Technician | 243 Gordan Road, Clinton, NC 28328-1502 | 2006-12-04 |
| 1689188567 | Samantha Tchami | Technician | 6701 Fawn Crossing Way, Clinton, MD 20735-5839 | 2017-11-29 |
| 1710164934 | Safe Haven Care, LLC | Technician | 9613 Plank Road, Suite O, Clinton, LA 70722 | 2008-01-30 |
| Find all providers in CLINTON | ||||
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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.