MALISSA BENNETT (NPI# 1639726276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
2457 WIECK DR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63136-3939 |
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 |
Find all providers in zip 63136 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
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] |
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 |
City | SAINT LOUIS |
Zip Code | 63136 |
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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.