MALISSA BENNETT


Address: 2457 Wieck Dr, Saint Louis, MO 63136-3939
Phone: 3147499818

MALISSA BENNETT (NPI# 1639726276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639726276
Entity Type Individual
Full Name MALISSA BENNETT
Practice Address 2457 Wieck Dr
Saint Louis
MO 63136-3939
Practice Telephone 3147499818
Enumeration Date 2019-08-19
Last Update Date 2019-08-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 2457 WIECK DR
City SAINT LOUIS
State MO
Zip Code 63136-3939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568062156 Sherri Ramsey Hawkins Technician 9155 Cozens Ave, Saint Louis, MO 63136-4078 2020-11-01
1760009575 Simone Mcgary Technician 2480 Lampong Dr Apt 100c, Saint Louis, MO 63125-3145 2020-06-26
1962024752 Brittany Evans Technician 8301 Hawkesbury Dr, Saint Louis, MO 63121-1004 2020-05-14
1487276309 Diana Denise Norman Technician 7218 Virginia Ave, Saint Louis, MO 63111-3018 2020-05-13
1669017331 Adria Marie Mckenna Technician 5028 Clayridge Dr Apt 309, Saint Louis, MO 63129-1251 2019-11-16
1518502947 Commie Jeffrey Technician 5403 College Ave, Saint Louis, MO 63136-1021 2019-11-08
1366099392 Dorothy J Langella Technician 133 E Etta Ave, Saint Louis, MO 63125-2120 2019-08-23
1154978245 Bill Dean Richards Technician 211 E Holden Ave, Saint Louis, MO 63125-2106 2019-08-22
1386012490 Arlene Williams Technician 7432 Woodland Way, Saint Louis, MO 63121-2546 2015-09-04
1437367836 Sharon Smith Technician 2804 Brown Rd, Saint Louis, MO 63114-4906 2007-05-18
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63136

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Dataset Information

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.

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