LATONYA BOULWARE (NPI# 1528619574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528619574 |
| Entity Type | Individual |
| Full Name | LATONYA BOULWARE |
| Credential | BSW, MBA |
| Practice Address |
2289 Spencer Boyd Rd Great Falls SC 29055-8908 |
| Practice Telephone | 8034826754 |
| Mailing Telephone | 8034826754 |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2289 SPENCER BOYD RD |
| City | GREAT FALLS |
| State | SC |
| Zip Code | 29055-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215138235 | Milrush, LLC | Durable Medical Equipment & Medical Supplies | 503 Chester Avenue, Great Falls, SC 29055 | 2007-05-29 |
| 1093897183 | Chester Physicians Hma | Family Medicine | 308 Chester Ave, Great Falls, SC 29055 | 2006-10-19 |
| 1639637358 | Alice Marie Dalena | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2019-03-12 |
| 1073962759 | Garrett Colton Kent | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2016-06-03 |
| 1639334329 | Novant Medical Group, Inc. | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2008-07-23 |
| 1598948333 | Terry Dewayne Sims | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2007-12-16 |
| 1235688425 | National Outreach and Wellness Center LLC | Counselor | 404 Chester Ave, Great Falls, SC 29055-1206 | 2016-09-28 |
| 1396293148 | Gary Milhorn II | Pharmacist | 503 Chester Ave Ste A, Great Falls, SC 29055-1207 | 2016-09-21 |
| 1487682878 | Milrush LLC | Pharmacy | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2006-06-28 |
| 1760829949 | Ann Mcelwee Mccrorey | Pharmacist | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2013-05-29 |
| Find all providers in zip 29055 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669413 | Re Family Services Inc. | Case Manager/Care Coordinator | 11 5th St N Ste 201, Great Falls, MT 59401-3269 | 2019-09-26 |
| 1154487643 | Living Life, LLC | Case Manager/Care Coordinator | 1601 2nd Ave N Ste 116, Great Falls, MT 59401-3286 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271926 | Rosalyn Hicks | Case Manager/Care Coordinator | 205 Poplar St Se, Salley, SC 29137-8949 | 2020-10-08 |
| 1962021352 | Lakeisha Cerese Burgess | Case Manager/Care Coordinator | 3618 Ashley Phosphate Rd, North Charleston, SC 29418-8585 | 2020-04-15 |
| 1154968089 | Sheena Dewitt | Case Manager/Care Coordinator | 770 Helmsman Ln, Chapin, SC 29036-6001 | 2019-12-10 |
| 1588201370 | Juanethea Bryantlord | Case Manager/Care Coordinator | 121 Amity Ln, Aiken, SC 29803-3873 | 2019-11-29 |
| 1114560489 | Leslie Stephens | Case Manager/Care Coordinator | 409 Ulmer Lake Dr, Walterboro, SC 29488-9417 | 2019-10-19 |
| 1649820382 | Kendra Latoya Brown-brooks | Case Manager/Care Coordinator | 614 Friendship Rd, Seneca, SC 29678-5348 | 2019-09-15 |
| 1285283515 | Uniq Care | Case Manager/Care Coordinator | 36450 County Line Rd, Hemingway, SC 29554-4328 | 2019-09-09 |
| 1205489960 | Ajah Ashanti Thacker | Case Manager/Care Coordinator | 309 Se Main St Ste 207, Simpsonville, SC 29681-2696 | 2019-07-22 |
| 1861045122 | Laquile West | Case Manager/Care Coordinator | 312 Angus Dr, Columbia, SC 29223-7758 | 2019-07-16 |
| 1770145005 | Kimberley Cecile Buldini | Case Manager/Care Coordinator | 164 Peachtree Ln, Seneca, SC 29678-6124 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 29055 |
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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.