SOPHIA JEAN KELLY (NPI# 1598390742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598390742 |
| Entity Type | Individual |
| Full Name | SOPHIA JEAN KELLY |
| Practice Address |
700 Pujo St Ste A Lake Charles LA 70601-4378 |
| Practice Telephone | 3374366662 |
| Mailing Telephone | 3374366662 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164942587 | Sophia Kelly | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-06-27 |
| Street Address |
700 PUJO ST STE A |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-4378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393234 | Aman Chabkoun | Counselor | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2016-05-10 |
| 1730798885 | Asia Johnson | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2020-07-24 |
| 1619591666 | Jericka Balket | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2020-06-05 |
| 1730726613 | Sasha Green | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2019-12-10 |
| 1588165963 | Lashanda Mcmahon | Counselor | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798885 | Asia Johnson | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2020-07-24 |
| 1619591666 | Jericka Balket | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2020-06-05 |
| 1730726613 | Sasha Green | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2019-12-10 |
| 1326501172 | Caring Hands LLC | Technician | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-04-09 |
| 1992268767 | Caring Hands LLC | Technician | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-04-09 |
| 1922560663 | Caring Hands LLC | Technician | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-04-02 |
| 1083813604 | Yolanda Cook | Technician | 3200 2nd Ave Ste B, Lake Charles, LA 70601-8922 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180390 | Demetria Abdualynn Thomas | Technician | 199 Skipper Dr, Mandeville, LA 70471-3021 | 2020-10-06 |
| 1780281360 | Shamontae Renee Nicholas | Technician | 329 Highway 400, Napoleonville, LA 70390-8929 | 2020-10-06 |
| 1174138424 | Christy Berry | Technician | 17232 Jefferson Hwy Apt 627, Baton Rouge, LA 70817-6982 | 2020-09-14 |
| 1336752450 | Sweetpee Care Services | Technician | 11111 Ivory Ln, Keithville, LA 71047 | 2020-08-28 |
| 1649898230 | Linda Jo Henderson | Technician | 1375 1st St Ste B, Arcadia, LA 71001-3530 | 2020-07-09 |
| 1679190490 | Liaison Home Care | Technician | 1221 Martin Dr, Marrero, LA 70072-2719 | 2020-06-26 |
| 1891325858 | Dania Bates | Technician | 2168 Meadow Hill Ave, Zachary, LA 70791-7019 | 2020-01-17 |
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.