MRS. NABUCHI GRACE ANDERSON (NPI# 1700134715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700134715 |
| Entity Type | Individual |
| Full Name | MRS. NABUCHI GRACE ANDERSON |
| Other Name | MRS. NABUCHI GRACE MASONGEZI |
| Credential | MHC |
| Practice Address |
15508 Willet Ct Mascotte FL 34753-9102 |
| Mailing Address |
Po Box 444 Mascotte FL 34753-0444 |
| Practice Telephone | 3522556458 |
| Practice Fax Number | 3524106118 |
| Mailing Telephone | 3522556458 |
| Mailing Fax Number | 3524106118 |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH 11052 | FL | Behavioral Health & Social Service Providers |
| Y | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004444701 | 05 | |
| FL | 004444700 | 05 |
| Street Address |
15508 WILLET CT |
| City | MASCOTTE |
| State | FL |
| Zip Code | 34753-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538614540 | Grace's Support Services, LLC | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2016-08-19 |
| 1225401912 | Life Change Outreach Organization, Inc | Home Health | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2015-11-04 |
| 1992057723 | Life Change Outreach Organization | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347426 | Takita's Helping Hand | Day Training, Developmentally Disabled Services | 255 Boca Ciega Rd, Mascotte, FL 34753 | 2007-07-10 |
| 1871070920 | Justo Nual Perez | Registered Nurse | 16 Lake Jackson Dr, Mascotte, FL 34753-8806 | 2018-07-22 |
| 1285863589 | Andrea Geraldine Delph | Occupational Therapist | 5136 Pine Needle Dr, Mascotte, FL 34753-8867 | 2009-07-08 |
| 1114479367 | Jamie Small | Behavior Technician | 301 Boca Ciega Rd, Mascotte, FL 34753-9224 | 2016-11-03 |
| 1174825210 | Lazina Johannah Thomas | Case Manager/Care Coordinator | 315 Carol St, Mascotte, FL 34753-9253 | 2010-11-22 |
| 1982036133 | Life Change Outreach Organization, Inc | Home Health | 55 Bluff Lake Rd, Suite A, Mascotte, FL 34753-9501 | 2013-07-30 |
| 1548723356 | Anthony Alan Anderson | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| 1386107100 | Redefining Abilities LLC | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| 1619535655 | Antonio Norat Jr. | Driver | 16033 Worthington Blvd N, Mascotte, FL 34753-9613 | 2019-06-04 |
| 1427601640 | A.n.j Transport L.L.C. | Non-emergency Medical Transport (VAN) | 16033 Worthington Blvd N, Mascotte, FL 34753-9613 | 2019-07-17 |
| Find all providers in zip 34753 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606813 | Assyrian Lane Thomas | Community Health Worker | 3415 30th Ln E, Bradenton, FL 34208-7248 | 2020-10-13 |
| 1922614692 | Michole Kiana Nelson | Community Health Worker | 2041 Payne Ave, Jacksonville, FL 32209-5636 | 2020-09-18 |
| 1558976639 | Brenda K Stephens | Community Health Worker | 144 Carver Ave, Havana, FL 32333-6318 | 2020-09-15 |
| 1619580669 | Lifeline Community Support, LLC | Community Health Worker | 927 Nw 97th Ave Apt 207, Miami, FL 33172-2380 | 2020-08-28 |
| 1669083192 | Basca Inc | Community Health Worker | 352 Stowe Ave, Orange Park, FL 32073-5547 | 2020-08-10 |
| 1982228250 | Gabrielle Benoit | Community Health Worker | 510 Beverly Blvd, Brandon, FL 33511-5510 | 2020-06-03 |
| 1316576192 | Angoria Consulting Management | Community Health Worker | 1382 Sequoia Rd Nw, Palm Bay, FL 32907-2780 | 2020-04-03 |
| 1174158349 | Arcliffe Elaine Stephenson | Community Health Worker | 5336 Jubilee Way, Margate, FL 33063-8205 | 2020-03-09 |
| 1639711096 | Margarette Jean Laurent | Community Health Worker | 261 Sw Fairchild Ave, Port St Lucie, FL 34984-4908 | 2019-10-16 |
| 1609337260 | Patricia Ann Brown | Community Health Worker | 797 Teague Trl Apt 8205, Lady Lake, FL 32159-3117 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
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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.