TONDALAYA DENISE MACK (NPI# 1649800079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649800079 |
| Entity Type | Individual |
| Full Name | TONDALAYA DENISE MACK |
| Practice Address |
1450 Leroy Stevens Rd Apt35 Mobile AL 36695 |
| Practice Telephone | 2519303578 |
| Mailing Telephone | 2519303578 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AL | Agencies | |
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1450 LEROY STEVENS RD APT35 |
| City | MOBILE |
| State | AL |
| Zip Code | 36695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| 1902264591 | Kathryn Schmadeke | Occupational Therapist | 10541 Hunters Ridge Drive, Mobile, AL 36695 | 2016-02-10 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718236 | Linda Beck | Home Health | 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 | 2020-07-23 |
| 1164045910 | Ellis Touch LLC | Home Health | 758 Stanton Rd, Mobile, AL 36617-2108 | 2020-05-27 |
| 1689214496 | Mittie's Caregivers | Home Health | 2809 Fay Ct, Mobile, AL 36607-2703 | 2020-01-09 |
| 1912547092 | Mlawson Corp | Home Health | 601 Bel Air Blvd Ste 201e, Mobile, AL 36606-3524 | 2020-01-07 |
| 1760944557 | Encompass Health Home Health of Alabama, LLC | Home Health | 6333 Cottage Hill Rd, Mobile, AL 36609-3112 | 2019-04-02 |
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1649745183 | Integrated House Calls, LLC | Home Health | 6866 Reichlieu Dr, Mobile, AL 36608-4407 | 2018-10-11 |
| 1891291431 | Shanterdra Sharda Ginyard | Home Health | 1805 S Mott Dr, Mobile, AL 36617-3325 | 2018-04-03 |
| 1285152157 | Statewide Healthcare Services, Inc | Home Health | 709b Azalea Rd, Mobile, AL 36609-1507 | 2017-08-31 |
| 1316476294 | Nyokie Ikea Knight | Home Health | 7959 Cottage Hill Rd Apt 1311, Mobile, AL 36695-4163 | 2017-06-05 |
| Find all providers in MOBILE | ||||
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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.