SHANAE GOOCH (NPI# 1689118150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689118150 |
| Entity Type | Individual |
| Full Name | SHANAE GOOCH |
| Practice Address |
1811 College Ave Se Grand Rapids MI 49507-2621 |
| Practice Telephone | 6162363074 |
| Mailing Telephone | 6163756868 |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address |
1811 COLLEGE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350336 | Molly D Schichtel | Home Health Aide | 4234 Cascade Rd Se Ste 3, Grand Rapids, MI 49546-8384 | 2020-09-15 |
| 1356954671 | Kati Bullard | Home Health Aide | 27 Withey St. Sw, Grand Rapids, MI 49507-2949 | 2020-08-26 |
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1184198939 | Diana Lynn Williams | Home Health Aide | 23065 Wintergreen Rd, Grand Rapids, OH 43522-9757 | 2019-01-15 |
| 1518483254 | Whisper Jean Simmons | Home Health Aide | 838 Myrtle St Nw Apt 1, Grand Rapids, MI 49504-3057 | 2017-08-15 |
| 1447774674 | Michigan Home Rehabilitation L.L.C. | Home Health Aide | 5088 Corporate Exchange Blvd Se Ste 350, Grand Rapids, MI 49512-5523 | 2017-07-31 |
| 1861833196 | Andrea Baumbarger | Home Health Aide | 23669 2nd St, Grand Rapids, OH 43522-9744 | 2013-07-15 |
| 1124376785 | Esther W. Dukes | Home Health Aide | 2706 Burton Se, Grand Rapids, MI 49546-4927 | 2012-08-29 |
| 1831716679 | Marta Luz Houser | Home Health Aide | 1111 40th St Se, Grand Rapids, MI 49508-6084 | 2020-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881432 | Sheila Japoniceker Womack | Home Health Aide | 23328 Beechwood Ave, Eastpointe, MI 48021-3549 | 2020-11-08 |
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1902407596 | Mishari Denise Ryan | Home Health Aide | 1190 River Valley Dr Apt 4, Flint, MI 48532-2960 | 2020-11-02 |
| 1386244242 | Athens Home Care Solutions LLC | Home Health Aide | 215 W Burr Oak, Athens, MI 49011-9731 | 2020-10-29 |
| 1700484037 | Kaelah Alexander | Home Health Aide | 17800 Northland Park Ct Ste 103b, Southfield, MI 48075-4304 | 2020-10-09 |
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1548875578 | Shenise Renee Jones | Home Health Aide | 15433 Auburn St, Detroit, MI 48223-1764 | 2020-09-15 |
| 1073128815 | Charmaine Tate | Home Health Aide | 32144 Woody, Fraser, MI 48026-2126 | 2020-09-09 |
| 1487268280 | Shaquisha N Allen | Home Health Aide | 9072 Stahelin Ave, Detroit, MI 48228-1715 | 2020-08-31 |
| 1346853199 | Tamika Burnette | Home Health Aide | 5908 Belvidere St, Detroit, MI 48213-3008 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on SHANAE GOOCH.
| 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.