KOLAWOLE PETERS (NPI# 1619401445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619401445 |
| Entity Type | Individual |
| Full Name | KOLAWOLE PETERS |
| Practice Address |
7454 N Oakley Ave Chicago IL 60645-1910 |
| Practice Telephone | 3127303056 |
| Mailing Telephone | 3127303056 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
7454 N OAKLEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| 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 |
|---|---|---|---|---|
| 1154969194 | Nathalia Menicucci | Adult Companion | 3940 N Clark St Apt 407, Chicago, IL 60613-2625 | 2019-12-19 |
| 1265997928 | Shauntay Marie Freeman | Adult Companion | 5424 W Van Buren St, Chicago, IL 60644-4744 | 2019-02-07 |
| 1093178972 | Desiree A Nimmer | Adult Companion | 11415 S Throop St, Chicago, IL 60643-4439 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1396396107 | Ms Care, Inc. | Adult Companion | 228 Florence St, Crystal Lake, IL 60014-5777 | 2019-09-23 |
| 1578121877 | Kelly Hutchison | Adult Companion | 450 E Higgins Rd Ste 102, Elk Grove Village, IL 60007-1417 | 2019-05-31 |
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1285112086 | Kimberly Cepak | Adult Companion | 113 Ashland Ave, River Forest, IL 60305-2105 | 2018-08-02 |
| 1326525528 | Lisa Edwards | Adult Companion | 24020 W Riverwalk Ct Ste 122, Plainfield, IL 60544-7126 | 2018-07-20 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1164816690 | Nyesha King | Adult Companion | 326 W H St Apt 7, Swansea, IL 62226-4331 | 2015-03-23 |
| 1295128122 | Shawnice Randle | Adult Companion | 322 Sauganash St, Park Forest, IL 60466-2227 | 2015-03-17 |
| 1649661547 | Elsy Cecilia Fuentes | Adult Companion | 118 Des Plaines Ave, Forest Park, IL 60130-1004 | 2015-02-12 |
| 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.