MR. LARRY HOLLIMON (NPI# 1649821422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821422 |
| Entity Type | Individual |
| Full Name | MR. LARRY HOLLIMON |
| Practice Address |
2320 East 30th Street Apt #1304 Cleveland OH 44115 |
| Mailing Address |
9609 St Catherine Ave Cleve OH 44104 |
| Practice Telephone | 2163337771 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
OH | Nursing Service Related Providers |
| Street Address |
2320 EAST 30TH STREET APT #1304 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| 1609208701 | Penny Shevawn Willis | Social Worker | 1320 Summer Avenue, Cleveland, OH 44115 | 2013-07-31 |
| Find all providers in zip 44115 | ||||
| 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] |
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| 1093335564 | Shantel Binford | Technician | 18404 Hiller Ave, Cleveland, OH 44119-1710 | 2020-04-24 |
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1962056689 | Karen Kay Pederson | Technician | 111 Deer Trl Nw, Cleveland, TN 37312-1110 | 2019-07-31 |
| 1902223779 | Solutions Hcs LLC | Technician | 540 East 105th Street Ste. 205-a, Glenville Enterprise Center, Cleveland, OH 44108 | 2014-03-18 |
| 1104165000 | Kristin Anne Hill | Technician | 5204 E 254th St, United States, Cleveland, MO 64734-8133 | 2013-02-12 |
| 1215581913 | Gary Duane Pederson | Technician | 111 Deer Trl Nw, Cleveland, TN 37312-1110 | 2019-07-31 |
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|---|---|---|---|---|
| 1285235721 | Teri Lynn Watkins | Technician | 1135 Chevy Ln, Piqua, OH 45356-8559 | 2020-11-02 |
| 1467052415 | Lissie Lee Powell | Technician | 851 Glensdel Dr, Dayton, OH 45417-8835 | 2020-10-29 |
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1063011088 | Rushon Unitea Marche Turner | Technician | 1231 Wilbur Ave, Akron, OH 44301-1839 | 2020-10-21 |
| 1164021432 | Dan W Nay | Technician | 5530 Township Road 213, Marengo, OH 43334-9603 | 2020-10-19 |
| 1033716337 | Holly Noel Shira | Technician | 4806 Kingshill Dr, Columbus, OH 43229-6204 | 2020-10-08 |
| 1508463407 | Terri Gerth | Technician | 9853 State Route 503 N, Lewisburg, OH 45338-8946 | 2020-10-04 |
| 1023615101 | Kari J Sherrod | Technician | 1601 Us Highway 50, Marathon, OH 45118-8605 | 2020-10-02 |
| 1770190282 | Kimberly F Martin | Technician | 370 Nunner Rd, Maineville, OH 45039-8515 | 2020-09-29 |
| 1689281420 | Andrea Leigh Knight | Technician | 6834 Alkire Rd, Galloway, OH 43119-9143 | 2020-09-25 |
| 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.