TINA PRIBULSKY, INC. (NPI# 1487778585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487778585 |
| Entity Type | Organization |
| Organization Name | TINA PRIBULSKY, INC. |
| Other Organization Name | HOMEWATCH CAREGIVERS |
| Practice Address |
419 Main St Unit D Grafton OH 44044-1253 |
| Practice Telephone | 4409269100 |
| Practice Fax Number | 4409269103 |
| Mailing Telephone | 4409269100 |
| Mailing Fax Number | 4409269103 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDSEY HARRISON (OFFICE MANAGER) |
| Authorized Official Telephone | 4409269100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| homewatch caregivers | Doing Business As Name - Organization |
| Street Address |
419 MAIN ST UNIT D |
| City | GRAFTON |
| State | OH |
| Zip Code | 44044-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918118 | Ann Motylewski | Social Worker | 2075 South Avon Beldon Blvd, Grafton, OH 44044 | 2016-09-01 |
| 1770995961 | Kimbrley D Clark | Counselor | 2057 S. Avon-belden Rd, Grafton, OH 44044 | 2014-05-22 |
| 1649396219 | Cynthia Kay Chrisulis | Licensed Practical Nurse | 1028 Center St, Grafton, OH 44044 | 2007-03-22 |
| 1649334970 | Grafton Township Trustees | Ambulance | 17109 Avon Belden Road, Grafton, OH 44044 | 2006-12-21 |
| 1528091667 | Eaton Township Ttee | Ambulance | 35955 E Royalton Rd, Grafton, OH 44044 | 2006-07-09 |
| 1366440778 | Firas Seffo | Family Medicine | Lake Hospital Systems East, Painesville, OH 44044 | 2005-07-09 |
| 1790909497 | Sarah Ann-marie Boone | Pharmacist | 479 Main St, Grafton, OH 44044 | 2007-04-12 |
| 1780700575 | Nelly J Ruebensaal | Pharmacist | 479 Main Street, Grafton, OH 44044 | 2007-03-22 |
| 1447778188 | Sarah Noel Stanton | Speech-Language Pathologist | 13080 Durkee Rd, Grafton, OH 44044-1122 | 2017-09-01 |
| 1023421112 | Ann Marie Spice | Speech-Language Pathologist | 13070 Durkee Rd, Grafton, OH 44044-1122 | 2014-06-05 |
| Find all providers in zip 44044 | ||||
| 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] |
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|---|---|---|---|---|
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1902404098 | Carol Noss | Custodial Care Facility | 6481 Dale Dr, Brookpark, OH 44142-3454 | 2020-10-12 |
| 1679189138 | Four Seasons Ranch, LLC. | Custodial Care Facility | 5625 Elm Hill Dr, Solon, OH 44139-1943 | 2020-09-21 |
| 1336754696 | David L Thompson | Custodial Care Facility | 59 West St, Jackson, OH 45640-1566 | 2020-09-14 |
| 1598393092 | Ebony Monique Eaddie | Custodial Care Facility | 3523 Woodridge Rd, Cleveland Heights, OH 44121-1533 | 2020-03-30 |
| 1710536354 | Dare To Be Different, LLC | Custodial Care Facility | 6303 Luther Ave, Cleveland, OH 44103-2575 | 2019-09-06 |
| 1396309258 | Patricia Sims | Custodial Care Facility | 6648 Afton Ave, Cincinnati, OH 45213-1130 | 2019-04-26 |
| 1285190264 | Felicia Hawkins | Custodial Care Facility | 2942 Banning Rd Apt 220, Cincinnati, OH 45239-5584 | 2019-02-14 |
| 1225507304 | Shirleen Barbara Ross | Custodial Care Facility | 3315 Mayo St Apt 111, Toledo, OH 43611-3260 | 2018-11-18 |
| 1770050023 | Cierra Thompson | Custodial Care Facility | 5599 Westerville Rd, Westerville, OH 43081-9365 | 2018-10-25 |
| 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.