MRS. NATHALIA WHITE SHANETTA WHITE (NPI# 1700373966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700373966 |
| Entity Type | Individual |
| Full Name | MRS. NATHALIA WHITE SHANETTA WHITE |
| Credential | HEALTHCARE PROVIDER |
| Practice Address |
240 W Galveston St Unit 417 League City TX 77574-0849 |
| Practice Telephone | 2817872881 |
| Mailing Telephone | 2817872881 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 825132507 | 05 | |
| TX | 82-5132507 | 05 |
| Street Address |
240 W GALVESTON ST UNIT 417 |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77574-0849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1588263743 | Bridget Lewis | Social Worker | 3045 Marina Bay Dr Apt 6101, League City, TX 77573-2774 | 2020-10-20 |
| 1831798016 | Birds Eye View Optometry - League City Pllc | Optometrist | 1355 E League City Pkwy Ste 200, League City, TX 77573-7095 | 2020-10-20 |
| 1023616182 | Autumn Vara | Genetic Counselor, MS | 2280 Gulf Fwy S, League City, TX 77573-5143 | 2020-10-12 |
| 1457958803 | Omar Cobo | Counselor | 2219 Viola Dr, League City, TX 77573-2711 | 2020-10-07 |
| 1790391654 | Phs Suc Pharmacy LLC | Pharmacy | 624 W Main St Ste 101, League City, TX 77573-3890 | 2020-09-16 |
| 1518572114 | Erick Daniel Lopez | Dentist | 1355 E League City Pkwy Ste 500, League City, TX 77573-7096 | 2020-09-10 |
| 1568075679 | Annalisa Erder | Optometrist | 1615 W League City Pkwy Ste 100, League City, TX 77573-7458 | 2020-08-28 |
| 1437762721 | Rachael Mary Edelman | Counselor | 202 Reynolds Ave, League City, TX 77573-4159 | 2020-08-26 |
| 1306459086 | Hannah Elizabeth Johnson | Specialist/Technologist | 205 Turtlewood Dr, League City, TX 77573-5221 | 2020-08-24 |
| Find all providers in LEAGUE CITY | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212961 | Gregory Wayne Mcafee Jr. | PACE Provider Organization | 7216 Mallard Dr, Texas City, TX 77591-3616 | 2019-12-17 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1942717012 | Wayfinders Day Habilitations & Respite Care | PACE Provider Organization | 4611 W Walnut St, Pearland, TX 77581-3967 | 2018-01-10 |
| 1154833184 | Operation Advantage Inc. | PACE Provider Organization | 2747 Point Vw, Cedar Hill, TX 75104-6936 | 2017-10-31 |
| 1275069478 | Jeffrey Joe Young | PACE Provider Organization | 2129 Green Lee Lane, Dickinson, TX 77539-5152 | 2017-05-08 |
| 1417308966 | Good Grace Provider Service | PACE Provider Organization | 15155 Richmond Ave Apt 833, Houston, TX 77082-1637 | 2016-06-27 |
| 1174971865 | Genuine Queens Jcl Care | PACE Provider Organization | 3730 S Loop 1604 E, San Antonio, TX 78264-9551 | 2016-06-03 |
| 1184072118 | Philia Interpreting Agency | PACE Provider Organization | 701 Mesquite St, Abilene, TX 79601-5220 | 2016-05-31 |
| 1710331913 | Heritage Developmental Care LLC | PACE Provider Organization | 9465 Clearwood Dr, Apt 324, Houston, TX 77075-4059 | 2016-04-14 |
| 1821465204 | Affordable Venture Home Healthcare LLC | PACE Provider Organization | 8626 Tesoro Dr Ste 205g, San Antonio, TX 78217-6217 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
| City | LEAGUE CITY |
| Zip Code | 77574 |
Please comment or provide details below to improve the information on MRS. NATHALIA WHITE SHANETTA WHITE.
| 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.