ANGELICA MARIE GRIFFIN (NPI# 1588293112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588293112 |
| Entity Type | Individual |
| Full Name | ANGELICA MARIE GRIFFIN |
| Practice Address |
12500 Shadowglen Trace 3204 Manor TX 78653 |
| Practice Telephone | 2103719398 |
| Mailing Telephone | 2103719398 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275024788 | Angelica Griffin | Home Health | 6000 Poplar Ave Ste 250, Memphis, TN 38119-3974 | 2018-05-21 |
| Street Address |
12500 SHADOWGLEN TRACE 3204 |
| City | MANOR |
| State | TX |
| Zip Code | 78653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591391 | Manor Total Dental and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 11828 Ring Dr. Ste 102, Manor, TX 78653 | 2019-04-24 |
| 1932698412 | New Hope Ranch | Substance Abuse Rehabilitation Facility | 11908 Sparks Road, Manor, TX 78653 | 2018-05-09 |
| 1649788332 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 12700 Lexington Street, Suite 220, Manor, TX 78653 | 2018-01-16 |
| 1760998934 | Open Hearts & Open Doors Group Home Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11605 Mill Ridge Trce, Manor, TX 78653 | 2017-12-22 |
| 1184089443 | Manor Family Orthodontics, Pllc | Dentist | 11828 Ring Dr, Ste 102, Manor, TX 78653 | 2015-12-30 |
| 1225424542 | Rsvp Healthcare Alliance, LLC | Pharmacy | 14008 Shadow Glen Blvd, Ste 102, Manor, TX 78653 | 2015-04-14 |
| 1023410560 | Demitra Stephens Haynes | In Home Supportive Care | 18116 Flathead Dr, Manor, TX 78653 | 2014-09-16 |
| 1922429836 | Wal-mart Stores Texas LLC | Technician/Technologist | 11923 Us Hwy 290 E, Manor, TX 78653 | 2013-12-18 |
| 1710326434 | Lizania Montero | Dentist | 11300 Hwy 290 E, Suite 200, Manor, TX 78653 | 2013-06-15 |
| 1548422926 | Kristina M Scroggins | Specialist/Technologist, Other | 11613 Sun Glide Ln, Manor, TX 78653 | 2008-06-27 |
| Find all providers in zip 78653 | ||||
| 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 |
|---|---|---|---|---|
| 1053911644 | Ramiro Meave Jr. | Case Manager/Care Coordinator | 6162 Misty Meadow Rd Apt 1102, Corpus Christi, TX 78414-2570 | 2020-10-31 |
| 1992305999 | Jonah Micah Reyes | Case Manager/Care Coordinator | 94 Briggs St Ste 450, San Antonio, TX 78224-1294 | 2020-10-28 |
| 1285233668 | Patricia A Griffith | Case Manager/Care Coordinator | 203 Brewer St, Navasota, TX 77868-3603 | 2020-10-18 |
| 1699380881 | Margarita Williams | Case Manager/Care Coordinator | 111 W Anderson Ln # D202-b, Austin, TX 78752-1132 | 2020-09-14 |
| 1497360945 | Chosen Care, Inc. | Case Manager/Care Coordinator | 144 Clemens Ave, New Braunfels, TX 78130-5613 | 2020-09-11 |
| 1306451828 | Dorneisia Tyson | Case Manager/Care Coordinator | 320 E Wintergreen Rd Apt 20h, Desoto, TX 75115-2473 | 2020-09-11 |
| 1548874332 | Alicia Pery | Case Manager/Care Coordinator | 5997 Shady Oaks Dr, Frisco, TX 75034-7228 | 2020-08-31 |
| 1265045694 | Dimide Inc. | Case Manager/Care Coordinator | 1928 Transcendence Dr, St Paul, TX 75098-0900 | 2020-08-25 |
| 1326658261 | Jasmine Capers | Case Manager/Care Coordinator | 5700 N Knoll Apt 201, San Antonio, TX 78240-2253 | 2020-08-05 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 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.