EILEEN ROBERTS (NPI# 1609435791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609435791 |
| Entity Type | Individual |
| Full Name | EILEEN ROBERTS |
| Practice Address |
C/o Eileen Roberts 5200 Clark Ave Unit 846 Lakewood CA 90714 |
| Mailing Address |
Po Box 846 Lakewood CA 90714-0846 |
| Practice Telephone | 3232038947 |
| Mailing Telephone | 3232038947 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251T00000X | PACE Provider Organization | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447309216 | Eileen Denise Roberts | Psychologist | 8911 Lakewood Dr Ste 25b, Windsor, CA 95492-7856 | 2007-01-09 |
| 1184753766 | Eileen Bradshaw Roberts | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2007-03-02 |
| Street Address |
C/O EILEEN ROBERTS 5200 CLARK AVE UNIT 846 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437323003 | Stacey L Carter | Counselor | 5200 Clark Ave., Lakewood, CA 90714 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1174124515 | Yitzchok Markovitz | Occupational Therapist | 96 Seminole Dr, Lakewood, NJ 08701-1152 | 2020-11-03 |
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1053911040 | Sara Kahan | Behavioral Analyst | 7 Burgundy Way, Lakewood, NJ 08701-4670 | 2020-10-28 |
| 1043810229 | Rae Marie Minear | Massage Therapist | 1075 S Yukon St Ste 340, Lakewood, CO 80226-4333 | 2020-10-28 |
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1396345831 | Emily Newberger | Counselor | 777 S Wadsworth Blvd # 2-103a, Lakewood, CO 80226-4300 | 2020-10-26 |
| Find all providers in LAKEWOOD | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202081 | Ann E Fallon | In Home Supportive Care | 14527 Lake Ave, Lakewood, OH 44107-1327 | 2020-10-12 |
| 1457966889 | John Francis Waters | In Home Supportive Care | 2153 Niagara Dr, Lakewood, OH 44107-5434 | 2020-09-11 |
| 1235751868 | Mastering Mountains Inc | In Home Supportive Care | 8725 W 14th Ave Ste 110, Lakewood, CO 80215-4849 | 2020-05-18 |
| 1376100453 | Godwin Care Services LLC | In Home Supportive Care | 5230 Clark Ave Ste 30, Lakewood, CA 90712-2666 | 2019-05-23 |
| 1093288938 | Anton Home Health Care | In Home Supportive Care | 7510 W Mississippi Ave Ste 200, Lakewood, CO 80226-4570 | 2019-01-03 |
| 1952816407 | Hanson Services Inc | In Home Supportive Care | 17017 Madison Ave, Lakewood, OH 44107-3501 | 2017-12-06 |
| 1992214290 | Sunshine Homecare Support Services Corp. | In Home Supportive Care | 2539 S Holland Ct, Lakewood, CO 80227-2939 | 2017-09-29 |
| 1124574728 | Blue Moon Enterprises LLC | In Home Supportive Care | 1250 Kline St, Lakewood, CO 80215-4538 | 2016-09-01 |
| 1689020497 | The Arc Ocean County Chapter Inc. | In Home Supportive Care | 815 Cedarbridge Ave, Lakewood, NJ 08701-4932 | 2016-05-11 |
| 1265808695 | Careofservices | In Home Supportive Care | 232 Ridge Ave, Lakewood, NJ 08701-3448 | 2015-08-20 |
| Find all providers in LAKEWOOD | ||||
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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.