RITA TACKETT (NPI# 1619324647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619324647 |
| Entity Type | Individual |
| Full Name | RITA TACKETT |
| Practice Address |
2340 Blue Springs Rd Se Cleveland TN 37311-0909 |
| Practice Telephone | 4236144449 |
| Mailing Telephone | 4236144449 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1110018A | TN | Ambulatory Health Care Facilities |
| Street Address |
2340 BLUE SPRINGS RD SE |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-0909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1639558588 | West Cleveland Adult Daycare | Clinic/Center | 1210 W Highway 8, Cleveland, MS 38732-2263 | 2015-05-26 |
| 1346596541 | Serenity Adult Day Care | Clinic/Center | 824 Cross St, 1000 Douglas St, Cleveland, MS 38732-3906 | 2012-07-25 |
| 1538331129 | North Street Adult Daycare | Clinic/Center | 222 North Street, Cleveland, MS 38732-2746 | 2008-03-24 |
| 1376727503 | Tender Loving Care | Clinic/Center | 714 1st Street, Cleveland, MS 38732 | 2007-12-24 |
| 1811179393 | Wakefield Adult Day Jcare Center | Clinic/Center | 314 S San Jacinto Ave, Cleveland, TX 77327-4848 | 2007-11-27 |
| 1184831778 | Adult Latchkey Inc | Clinic/Center | 13205 Chapelside Ave, Cleveland, OH 44120-4605 | 2007-05-16 |
| 1891824769 | Dobb Inc | Clinic/Center | 1030 East 62nd Street, Cleveland, OH 44103-1093 | 2007-03-05 |
| 1215076039 | Angel Homemaker Services, LLC | Clinic/Center | 200 Glassco St, Cleveland, MS 38732-4434 | 2007-02-06 |
| 1225096035 | Benjamin Rose Institute On Aging | Clinic/Center | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2006-05-02 |
| Find all providers in CLEVELAND | ||||
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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.