MRS. TAMARA PRUETTE HEACOCK (NPI# 1669725818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669725818 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA PRUETTE HEACOCK |
| Credential | OTR/L |
| Practice Address |
3200 Concord Rd Aston PA 19014-1931 |
| Mailing Address |
509 Montana Ave Aldan PA 19018-3216 |
| Practice Telephone | 6108597833 |
| Mailing Telephone | 6106231343 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | OC003910L | PA | Agencies |
| Street Address |
3200 CONCORD RD |
| City | ASTON |
| State | PA |
| Zip Code | 19014-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285848309 | Carl Dennis Jackson | Dentist | 3200 Concord Rd, Suite 200, Aston, PA 19014-1931 | 2007-05-09 |
| 1811235112 | Amanda Iacono Spinogatti | Speech-Language Pathologist | 3200 Concord Rd, Aston, PA 19014-1931 | 2013-01-21 |
| 1861777187 | Carol Ann Baron | Pharmacist | 3200 Concord Rd, Suite 101, Aston, PA 19014-1931 | 2011-10-18 |
| 1700107117 | Kimberly Cook | Speech-Language Pathologist | 3200 Concord Rd, Suite 103, Aston, PA 19014-1931 | 2010-06-20 |
| 1326361304 | Aston Family Dental Care | Clinic/Center | 3200 Concord Rd, Suite 200, Aston, PA 19014-1931 | 2010-03-05 |
| 1215118849 | Teems Inc | Home Health | 3200 Concord Rd, Aston, PA 19014-1931 | 2007-11-26 |
| 1073794848 | Maria T. Unger | Speech-Language Pathologist | 3200 Concord Rd, Suite 103, Aston, PA 19014-1931 | 2007-11-20 |
| 1093995987 | Helen Ann Thompson | Occupational Therapist | 3200 Concord Rd, Aston, PA 19014-1931 | 2007-11-07 |
| 1831379726 | Helen Vadala | Occupational Therapist | 3200 Concord Rd, Aston, PA 19014-1931 | 2007-11-07 |
| 1679789713 | Chester H Boyers Iv | Massage Therapist | 3200 Concord Rd, Suite 102, Aston, PA 19014-1931 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374135 | Lauren Walker | Physical Therapist | 482-484 Conchester Highway, Suite 7 & 8, Aston, PA 19014 | 2018-11-06 |
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1972925675 | Lylelaine Bacalla | Registered Nurse | 50 Andrews Court, Upper Chichester, PA 19014 | 2014-01-15 |
| 1598020539 | Tarlan Arshian | Dentist | 488 Conchester Hwy, Upper Chichester, PA 19014 | 2012-07-05 |
| 1104194703 | Carla Laury | Counselor | 302 Belvue Terrace, Aston, PA 19014 | 2011-12-09 |
| 1548542426 | Me Lee Ghassemi | Pharmacist | 3620 Concord Road, Walgreens Pharmacy, Aston, PA 19014 | 2011-09-15 |
| 1649504986 | Chester Pain Management | General Practice | 4610 Pennell Road, Aston, PA 19014 | 2009-09-18 |
| 1053555474 | Sleepcare Center Inc. | Specialist | 4513 Pennell Road, Aston, PA 19014 | 2009-04-29 |
| 1366619033 | Jonathan Nobuhiro Hayashi | Dentist | 2901 Dutton Mill Road, Aston, PA 19014 | 2008-05-13 |
| 1215055355 | Karen Ann Maher | Physical Therapist | 2507 Chestnut Street, Chester, PA 19014 | 2007-03-27 |
| Find all providers in zip 19014 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781182 | Hearts of Compassion | In Home Supportive Care | 324 Belvue Ter Ste 2b, Aston, PA 19014-3447 | 2020-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942379 | Client Care Plus LLC | In Home Supportive Care | 5835 Albion Rd, Girard, PA 16417-7415 | 2020-11-05 |
| 1780285015 | Changing Lives With Solutions Home Care Agency LLC | In Home Supportive Care | 4700 City Ave Apt 9405, Philadelphia, PA 19131-8510 | 2020-11-03 |
| 1457952087 | Born Caregivers LLC | In Home Supportive Care | 2208 S Beechwood St, Philadelphia, PA 19145-3410 | 2020-11-02 |
| 1659971364 | Kpmc Group Inc | In Home Supportive Care | 223 South 69th St, Upper Darby, PA 19082 | 2020-10-30 |
| 1154921286 | Ltl Home Care Agency, LLC. | In Home Supportive Care | 603 E Ohio St, Pittsburgh, PA 15212-5619 | 2020-10-28 |
| 1639779846 | Dream Home Care LLC | In Home Supportive Care | 2410 Glendore Dr, Harrisburg, PA 17112-9611 | 2020-10-27 |
| 1609476977 | Bona Fide Care Connections LLC | In Home Supportive Care | 6030 Chester Ave, Philadelphia, PA 19142-1411 | 2020-10-27 |
| 1902405434 | Art Care Home Health Care Agency LLC | In Home Supportive Care | 1409 W Master St Ste 107, Philadelphia, PA 19121-4339 | 2020-10-26 |
| 1437758182 | Elite Eldercare Services Inc | In Home Supportive Care | 327 Devon Dr, Lancaster, PA 17603-4609 | 2020-10-23 |
| 1851990717 | Edwards Direct Home Care Agency, LLC | In Home Supportive Care | 153 E Washington Ln, Philadelphia, PA 19144-2010 | 2020-10-21 |
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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.