LAVERN SMITH-JONES (NPI# 1477915338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477915338 |
| Entity Type | Individual |
| Full Name | LAVERN SMITH-JONES |
| Practice Address |
6810 Canary Meadow Dr Converse TX 78109-3454 |
| Practice Telephone | 2102008445 |
| Practice Fax Number | 2102008445 |
| Mailing Telephone | 2102008445 |
| Mailing Fax Number | 2102008445 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
6810 CANARY MEADOW DR |
| City | CONVERSE |
| State | TX |
| Zip Code | 78109-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583642 | Jennifer E Blackmon | Nurse Practitioner | 10134 Rush Canyon, Converse, TX 78109 | 2020-03-19 |
| 1962913830 | Yvette Marie Martinez | Nurse Practitioner | 7585 Kitty Hawk Ste 201, Converse, TX 78109 | 2017-10-19 |
| 1184144966 | Norma Irene Ayala | Driver | 7460 Kitty Hawk Rd Site 430, Converse, TX 78109 | 2017-06-22 |
| 1497285753 | Miguel Antonio Solis | Social Worker | 8818 Olmstead Park, Converse, TX 78109 | 2017-06-19 |
| 1417482324 | Converse Dentistry | Dentist | 6643 Binz Engleman Road, 6643 Binz Engleman Road, San Antonio, TX 78109 | 2017-04-28 |
| 1417305806 | Kashi Dental LLC | Clinic/Center | 9163 Fm 78, Suite # 1, Converse, TX 78109 | 2016-05-26 |
| 1427499953 | Hardik A Bhadeshiya | Dentist | 8455 Crestway Road Suite 101, Converse, TX 78109 | 2013-07-12 |
| 1548515075 | Soumava Sen, Dds, P.C. | Dentist | 8455 Crestway Road, Suite 101, Converse, TX 78109 | 2012-07-20 |
| 1427326131 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8027 Kitty Hawk Rd, Converse, TX 78109 | 2011-12-08 |
| 1891925491 | Thaddeus R Tregeagle | Dentist | 9135 Schaefer Rd, 3, Converse, TX 78109 | 2009-07-17 |
| Find all providers in zip 78109 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538483 | Alejandra Melendez | Custodial Care Facility | 160 Santa Paula Dr, El Paso, TX 79927-1466 | 2020-11-04 |
| 1962001750 | Geov Divine Healthcare Services Inc. | Custodial Care Facility | 230 Darby Trails Dr, Sugar Land, TX 77479-5243 | 2020-10-22 |
| 1306444799 | St Leo Healthcare Services Inc | Custodial Care Facility | 4338 Berry Bend Ln, Richmond, TX 77406-7224 | 2020-10-16 |
| 1609473065 | Business Minds of Houston, LLC | Custodial Care Facility | 6102 Stonebury Ct, Sugar Land, TX 77479-5487 | 2020-10-07 |
| 1831704311 | Holistic Group LLC | Custodial Care Facility | 510 Cassia Way, Arlington, TX 76002-4520 | 2020-09-11 |
| 1619581170 | Unconditional Love Adult Family Homes | Custodial Care Facility | 3906 Waterproof, Killeen, TX 76549-4404 | 2020-09-02 |
| 1871105924 | Beezway Inc | Custodial Care Facility | 6100 Verandas Cir Apt 837, Fort Worth, TX 76132-4166 | 2020-08-20 |
| 1972112266 | Texas Pro Homecare Inc. | Custodial Care Facility | 2706 Seabiscuit Road, Celina, TX 75009 | 2020-07-23 |
| 1598374787 | Anapa Healthcare Services LLC | Custodial Care Facility | 22430 Rustic Meadow Ct, Katy, TX 77494-8247 | 2020-07-23 |
| 1336766336 | Living Faith Community Home, Inc. | Custodial Care Facility | 10735 Braes Forest Dr, Houston, TX 77071-1501 | 2020-06-25 |
| 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.