SHANTA SHACOLE WHITE (NPI# 1679124895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679124895 |
| Entity Type | Individual |
| Full Name | SHANTA SHACOLE WHITE |
| Practice Address |
7308 S Constance Ave Chicago IL 60649-3120 |
| Mailing Address |
Po Box 496061 Chicago IL 60649-0001 |
| Practice Telephone | 7738640309 |
| Mailing Telephone | 7738640309 |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2019-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | IL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040511 | Shanta R White | Technician | 6850 Manhattan Blvd # 704, Fort Worth, TX 76120-1227 | 2020-10-10 |
| Street Address |
7308 S CONSTANCE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201778 | Brandi Holmes | Homemaker | 8339 S Phillips Ave, Chicago, IL 60617-1931 | 2020-10-05 |
| 1023621364 | Antwaniqua White | Homemaker | 3500 S Lake Park Ave Apt 405, Chicago, IL 60653-1561 | 2020-08-26 |
| 1346865730 | Denise Serna | Homemaker | 3805 W 75th Pl, Chicago, IL 60652-1303 | 2020-06-11 |
| 1548803109 | Filipina Laurel Sabay | Homemaker | 2515 W Winona St, Chicago, IL 60625-2504 | 2019-10-25 |
| 1669943288 | Belinda Ware | Homemaker | 1722 N Laramie Ave, Chicago, IL 60639-4409 | 2018-12-07 |
| 1013485465 | Sheena Gibbs | Homemaker | 5953 N Kenmore Ave Apt 205, Chicago, IL 60660-3686 | 2018-11-04 |
| 1609395391 | Gloria Mauricio Medrano | Homemaker | 4118 N Kedvale Ave, Chicago, IL 60641-0030 | 2017-09-13 |
| 1346685591 | Hellenic Foundation | Homemaker | 6251 W Touhy Ave, Chicago, IL 60646-1106 | 2013-05-01 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1508103730 | Romanian American Community Center | Homemaker | 3643 W Irving Park Rd, Chicago, IL 60618-4143 | 2013-01-08 |
| Find all providers in CHICAGO | ||||
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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.