MS. PAMELA RENEE GOVAN (NPI# 1487056636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487056636 |
Entity Type | Individual |
Full Name | MS. PAMELA RENEE GOVAN |
Practice Address |
11624 N 39th Ave Phoenix AZ 85029-3119 |
Practice Telephone | 6022431773 |
Practice Fax Number | 6022761984 |
Mailing Telephone | 6022431773 |
Mailing Fax Number | 6022761984 |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
12015 | AZ | Nursing Service Related Providers |
Street Address |
11624 N 39TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85029-3119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
Find all providers in zip 85029 |
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 |
---|---|---|---|---|
1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
1417493115 | Mary Cook | Technician | 2721 E Corona Ave, Phoenix, AZ 85040-2733 | 2017-01-18 |
1205380003 | Deanna La Shun Owens | Technician | 1933 W Burgess Ln, Phoenix, AZ 85041-5440 | 2016-08-09 |
1649655036 | Simone Kjolsrud | Technician | 1326 E Palm Ln, Phoenix, AZ 85006-2201 | 2015-07-27 |
1487920476 | Carma C Umpleby | Technician | 2642 E Willetta St, Phoenix, AZ 85008-4613 | 2012-03-24 |
1093080186 | Thomas Burris | Technician | 6842 S 40th Pl, Phoenix, AZ 85042-5105 | 2012-03-21 |
1538434626 | Tomasa Melendez | Technician | 1320 W Tamarisk St, Phoenix, AZ 85041-2350 | 2012-03-21 |
1508131608 | Khameelah Shabazz | Technician | 1632 E Vineyard Rd, Phoenix, AZ 85042-5724 | 2012-03-21 |
Find all providers in PHOENIX |
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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.