KEISHA GREEN (NPI# 1508230368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508230368 |
| Entity Type | Individual |
| Full Name | KEISHA GREEN |
| Practice Address |
2616 General Patton St Lake Charles LA 70615-8116 |
| Practice Telephone | 3374252085 |
| Mailing Telephone | 3374252085 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134311814 | Keisha Green | Pharmacist | 7724 Buck Pond Rd, N Charleston, SC 29418-2127 | 2007-08-15 |
| 1053658260 | Keisha Green | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2013-01-08 |
| Street Address |
2616 GENERAL PATTON ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70615-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
| 1275908725 | Ashley Jones | Counselor | 1716 Eleanor St., Lake Charles, LA 70615 | 2015-12-09 |
| 1669608097 | Consumer Advocacy and Resource Coordination, Inc. | Case Management | 902 Canvasback Street, Lake Charles, LA 70615 | 2009-05-29 |
| 1770796906 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 2412 Third Street, Lake Charles, LA 70615 | 2007-05-07 |
| 1376755454 | Christus Health Southwestern Louisiana | Clinic/Center | 2802 Pineview Street, Lake Charles, LA 70615 | 2007-05-03 |
| 1669981312 | Terri Williams | Registered Nurse | 3975 East Prien Lake Rd, Lake Charles (and Vicinity), LA 70615 | 2017-09-26 |
| 1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
| 1063726248 | Elisha Dianne Conner | Licensed Practical Nurse | 2915 Fitzenrieter Rd, Lake Charles, LA 70615-1314 | 2010-07-30 |
| 1790906493 | Jeannine Utzman Babineaux | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2007-05-01 |
| 1174800569 | Hollie Steffens Donnelly | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2011-11-14 |
| Find all providers in zip 70615 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740410570 | Caring Hearts Sitting Service | Adult Companion | 3204 North General Wainwright Drive, Lake Charles, LA 70615-8138 | 2009-07-14 |
| 1790251627 | Alliance Healthcare Staffing | Adult Companion | 1731 Moeling St, Lake Charles, LA 70601-1757 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306734 | Terneisha S.sparks | Adult Companion | 2487 Paige Janette Dr, Harvey, LA 70058-2136 | 2020-08-13 |
| 1336797141 | Angelic Care Services | Adult Companion | 4480 General Degaulle Dr Ste 223, New Orleans, LA 70131-6306 | 2019-08-27 |
| 1699234575 | Mackenzie Denise Ceasar | Adult Companion | 1533 Fourth St, Jonesville, LA 71343-2127 | 2019-03-19 |
| 1639671548 | Delaine Grace | Adult Companion | 10719 Vienna St, New Orleans, LA 70127-3117 | 2018-03-07 |
| 1508365032 | Divine Companion Care Services | Adult Companion | 616 Mcdonald Ave, Ruston, LA 71270-4627 | 2018-02-10 |
| 1356869606 | Seeds In Action Communty Health Care, Inc. | Adult Companion | 2210 Line Ave Ste 101, Shreveport, LA 71104-2100 | 2017-09-07 |
| 1619497930 | Treston Moore | Adult Companion | 2175 Stockwell Rd Apt 417, Bossier City, LA 71111 | 2017-06-27 |
| 1396277463 | People First Direct Care, LLC | Adult Companion | 12400 Jefferson Highway #1808, Baton Rouge, LA 70816-6259 | 2017-03-29 |
| 1851753990 | Julia M Carter-cook | Adult Companion | 1000 West Dr Ste B, Westwego, LA 70094-5372 | 2016-03-28 |
| 1255707048 | Demetria Germaine Nunez | Adult Companion | 10907 Shanna Dr, Abbeville, LA 70510-6331 | 2015-08-15 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70615 |
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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.