MRS. ROSALYN MARIE WILLIS (NPI# 1669016002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669016002 |
| Entity Type | Individual |
| Full Name | MRS. ROSALYN MARIE WILLIS |
| Practice Address |
4826 11th Street Brookshire TX 77423 |
| Mailing Address |
Po Box 1614 Brookshire TX 77423 |
| Practice Telephone | 8326599844 |
| Mailing Telephone | 8376599844 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| 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 |
4826 11TH STREET |
| City | BROOKSHIRE |
| State | TX |
| Zip Code | 77423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807383 | Haley Tijerina | Physical Therapy Assistant | 544 Otto Street, Brookshire, TX 77423 | 2020-10-08 |
| 1487266896 | Linh Nguyen | Physical Therapist | 710 Hwy 359 S, Brookshire, TX 77423 | 2020-08-18 |
| 1659800761 | Hands That Care Home Health Services LLC | Home Health | 3212 Depot Street, Brookshire, TX 77423 | 2017-06-12 |
| 1245603752 | Laverne Gidget Moreland | Case Manager/Care Coordinator | 32303 Pintail Street, Brookshire, TX 77423 | 2015-11-05 |
| 1396144770 | Dewitt Medical District | Skilled Nursing Facility | 710 Highway 359 S, Brookshire, TX 77423 | 2014-08-21 |
| 1255770723 | Healthy Changes Hypnosis LLC | Clinic/Center | 9135 Katy Fwy., Ste. 119, Houston, TX 77423 | 2013-06-18 |
| 1093071995 | Serenitys Nest Rtc Inc. | Private Vehicle | 4822 Gassner Rd., Brookshire, TX 77423 | 2012-04-04 |
| 1003103326 | Mohammad Moridnia | Dentist | 3603 S. Front Street, Suite #107, Brookshire, TX 77423 | 2011-07-07 |
| 1295030153 | A Touch of Love Home Healthcare Agency | Home Health | 3430 Brookhollow Dr, Brookshire, TX 77423 | 2011-01-24 |
| 1508199647 | Rosek Medical Equipment and Supply | Durable Medical Equipment & Medical Supplies | 4015 South Front Street, Brookshire, TX 77423 | 2009-09-08 |
| Find all providers in zip 77423 | ||||
| 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 |
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| 1700484276 | Princess Bacote-brown | Technician | 1038 Cheyenne Ridge Dr, Rosharon, TX 77583-8099 | 2020-10-15 |
| 1063019842 | Maricela Martinez De Lopez | Technician | 3819 Moler St, Dallas, TX 75211-6041 | 2020-10-05 |
| 1689288011 | Ysauro Maldonado Jr. | Technician | 17827 Abd Rd, Harlingen, TX 78552-1752 | 2020-09-02 |
| 1073127460 | Syndy Thi Nguyen | Technician | 3426 Meadowside Dr, Sachse, TX 75048-2269 | 2020-09-02 |
| 1760096382 | Stephanie Brooks | Technician | 10214 Valley Wlnd Dr, Houston, TX 77078 | 2020-09-01 |
| 1194336222 | Honey Hands Personal Care Services LLC | Technician | 4907 Spring Ave # 202, Dallas, TX 75210-1360 | 2020-08-12 |
| 1184234502 | Home of Elegance | Technician | 2901 Thorson Ln Apt 1207, Fort Worth, TX 76116-2077 | 2020-08-01 |
| 1780200956 | Donna Sue Martin | Technician | 5022 Spencer Hwy, Pasadena, TX 77505-1508 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSHIRE |
| Zip Code | 77423 |
Please comment or provide details below to improve the information on MRS. ROSALYN MARIE WILLIS.
| 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.