ANDREA GRAHAM (NPI# 1659986610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659986610 |
| Entity Type | Individual |
| Full Name | ANDREA GRAHAM |
| Practice Address |
109 S Acline St Lake City SC 29560-2632 |
| Practice Telephone | 8439390810 |
| Mailing Telephone | 8439390810 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191511 | Andrea Maxine Graham | Nursing Care | 11430 178th Pl, Jamaica, NY 11434-1410 | 2009-04-21 |
| 1407034721 | Andrea R Graham | Physical Therapist | 412 West Jefferson Street, Auburn, IL 62615 | 2008-02-08 |
| 1184050114 | Andrea Marie Graham | Dietitian, Registered | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2013-09-23 |
| 1447581061 | Andrea Wilson Graham | Counselor | 2106 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2010-01-21 |
| Street Address |
109 S ACLINE ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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 |
|---|---|---|---|---|
| 1639777345 | Concierge Home Care of Lake City LLC | Home Health | 301 Nw Cole Ter Ste 105, Lake City, FL 32055-9302 | 2020-10-14 |
| 1699382549 | Grace and Mercy Home Health Lc | Home Health | 2370 Green Rd, Lake City, SC 29560-5483 | 2020-09-24 |
| 1710537501 | All Quality Health Care Agency, LLC | Home Health | 119 N Mcallister St, Lake City, SC 29560-2421 | 2019-09-13 |
| 1003325580 | Missaukee County Commission On Aging | Home Health | 1980 S Morey Rd, Lake City, MI 49651-9380 | 2017-09-27 |
| 1821442021 | Cornerstone District 3 LLC | Home Health | 484 Sw Commerce Dr Ste 130, Lake City, FL 32025-1588 | 2016-04-14 |
| 1144584038 | Blue Lagoon Therapy & Services, LLC | Home Health | 2353 S Lachance Rd, Lake City, MI 49651-8024 | 2012-06-26 |
| 1740597400 | Housecall Home Health, LLC | Home Health | 461 Sw Main Blvd, Lake City, FL 32025-5268 | 2010-09-01 |
| 1427206481 | 3d Providers Corporation | Home Health | 144 Sw Waterford Ct, Suite 101, Lake City, FL 32025-0767 | 2008-09-03 |
| 1669406377 | Gentiva Health Services (certified), Inc. | Home Health | 419 Sw State Road 247 Ste 109, Lake City, FL 32025-8318 | 2006-07-10 |
| 1902853708 | Omni Home Health- Hernando, LLC | Home Health | 1037 W Us Highway 90, Suite 140, Lake City, FL 32055-3739 | 2006-05-27 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on ANDREA GRAHAM.
| 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.