MR. LARRY JACOB ROSE (NPI# 1437392636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437392636 |
| Entity Type | Individual |
| Full Name | MR. LARRY JACOB ROSE |
| Practice Address |
1860 Walnut St Suite A Red Bluff CA 96080-3611 |
| Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
| Practice Telephone | 5305275637 |
| Practice Fax Number | 5305270249 |
| Mailing Telephone | 5305275637 |
| Mailing Fax Number | 5305270249 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366637365 | Larry James Rose | Social Worker | 2600 State Line Rd, Elizabethton, TN 37643-7204 | 2007-09-12 |
| 1447332259 | Larry M Rose | Physician Assistant | 2 Upper Ragsdale Dr Ste B240, Monterey, CA 93940-7848 | 2006-10-20 |
| Street Address |
1860 WALNUT ST SUITE A |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245253475 | Jenna Quinn | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2006-07-26 |
| 1902414923 | Nathan Watson | Licensed Vocational Nurse | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2020-07-15 |
| 1285272781 | Lorenna Leon | Community Based Residential Treatment Facility, Mental Illness | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-12-15 |
| 1588223036 | Amber L Wilson | Counselor | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-06-09 |
| 1003378381 | Rachael Waltz | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-04-04 |
| 1790253987 | Desiree De Palma | Home Health Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-06 |
| 1548736879 | Megan Sundblad | Licensed Psychiatric Technician | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-14 |
| 1144795311 | Noemi Avila-reyes | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-03 |
| 1194202366 | Morgan Vazquez | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080 | 2018-07-20 |
| 1760996870 | Amanda Mackenzie Swanson | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2017-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
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| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1821437096 | Teri Renee Banks | Nurse's Aide | 716 Johnson St, Red Bluff, CA 96080-3723 | 2013-06-20 |
| 1356633762 | Melissa Lynn Gates | Nurse's Aide | 1816 Walnut St, B, Red Bluff, CA 96080-0400 | 2011-05-04 |
| 1760788301 | Larissa Marie Himes | Nurse's Aide | 340 San Joaquin Dr, Red Bluff, CA 96080-2244 | 2011-01-30 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1003378381 | Rachael Waltz | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-04-04 |
| 1942799960 | Amber Mae Wilburn | Nurse's Aide | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2018-05-04 |
| 1881946895 | Christine Michelle Ziegler | Nurse's Aide | 1860b Walnut Street, Red Bluff, CA 96080 | 2012-10-15 |
| 1770843468 | Lena Elizabeth Johnson | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2012-05-29 |
| 1295024008 | Jessica Faye Maennche | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2011-04-01 |
| 1699072926 | Mandee Jean Reed | Nurse's Aide | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2011-02-23 |
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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.