TAMARA GORDON (NPI# 1578003653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578003653 |
| Entity Type | Individual |
| Full Name | TAMARA GORDON |
| Practice Address |
217 Jewett Ave Bridgeport CT 06606-2826 |
| Practice Telephone | 2035126269 |
| Mailing Telephone | 2035126269 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| 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 | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053922 | Tamara Gordon | Dentist | 3013 E Market St Ste 100, York, PA 17402-2513 | 2018-05-11 |
| 1508362997 | Tamara Gordon | Dietitian, Registered | 94 Biltmore Dr, Charlottesville, VA 22901-2402 | 2018-04-04 |
| Street Address |
217 JEWETT AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518408566 | Extended Family Health Service LLC | Home Health | 217 Jewett Ave, Bridgeport, CT 06606-2826 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1952938359 | Inez Arboleda | Adult Companion | 2335 Madison Ave, Bridgeport, CT 06606-3244 | 2020-03-25 |
| 1255837621 | Our Family Home Healthcare | Adult Companion | 330 Granfield Ave, Bridgeport, CT 06610-2305 | 2018-04-03 |
| 1003319617 | Elvina Benjamin | Adult Companion | 2600 Park Ave Unit 8w, Bridgeport, CT 06604-1321 | 2018-03-10 |
| 1598281503 | Dyshai Mims | Adult Companion | 182 Hanover St, Bridgeport, CT 06604-3706 | 2017-08-21 |
| 1316479454 | Myron Dukes | Adult Companion | 955 Connecticut Ave, Ste 5305, Bridgeport, CT 06607-1224 | 2017-03-29 |
| 1316356306 | Kimberly Duval-hall | Adult Companion | 1784 North Ave, Bridgeport, CT 06604-2500 | 2014-08-05 |
| 1982120747 | Helen's Homecare | Adult Companion | 955 Connecticut Ave, #5305, Bridgeport, CT 06607-1297 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639438 | Jonathon Sanchez | Adult Companion | 31 High St Apt 8106, East Hartford, CT 06118-3804 | 2019-09-24 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1134697402 | Rose Derosier | Adult Companion | 892 Stillson Rd, Fairfield, CT 06824-3120 | 2018-11-05 |
| 1073088365 | Quiana Carmon | Adult Companion | 60 Virginia Dr, Meriden, CT 06450-7815 | 2018-10-12 |
| 1700380706 | Joel Donnel Kirkland Sr. | Adult Companion | 30 Brewster St, New Haven, CT 06511-1804 | 2018-03-22 |
| 1487164794 | Edwin M Almonte | Adult Companion | 8 Library Pl, Bethel, CT 06801-2106 | 2017-10-02 |
| 1386029247 | Fairfield County Senior Services, L.L.C. | Adult Companion | 52 Marsh Rd, Easton, CT 06612 | 2015-07-21 |
| 1124278411 | Helping Hands Health Care Agency LLC | Adult Companion | 11 Hanford Place, Norwalk, CT 06854-3088 | 2008-09-24 |
| 1972764769 | Faith Kasor Gbatu | Adult Companion | 609 Mix Ave, # C, Hamden, CT 06514-2354 | 2008-06-24 |
| 1518128271 | Star Senior Care LLC | Adult Companion | 281b Reservoir Ave, Meriden, CT 06451-2845 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.