MRS. PAMELA KELLAM GREEN (NPI# 1730716648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730716648 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA KELLAM GREEN |
| Practice Address |
6986 Jack Horner Ln Jacksonville FL 32210-3620 |
| Mailing Address |
4575 St. Johns Avenue Suite # 4 Jacksonville FL 32210 |
| Practice Telephone | 9047109662 |
| Practice Fax Number | 9045862473 |
| Mailing Telephone | 9047109662 |
| Mailing Fax Number | 9045862473 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 688784896 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168805 | Pamela Sue Green | Contractor | 2102 W Dallas Rd, Urbana, OH 43078-9437 | 2020-09-11 |
| 1164066635 | Pamela Mckee Green | Dietitian, Registered | 4371 Narrow Lane Rd Ste 200, Montgomery, AL 36116-2975 | 2019-10-29 |
| 1720464597 | Pamela Green | Registered Nurse | 574 Windsor Dr, Forest Park, GA 30297-2912 | 2015-08-04 |
| 1477978641 | Pamela Green | Social Worker | 15439 W Lea Ln, Surprise, AZ 85374-4806 | 2014-02-25 |
| 1245548445 | Pamela Michele Green | Case Management | 49 Norwich Dr., Clayton, NC 27420 | 2010-09-22 |
| 1093962052 | Pamela Edith Green | Nurse's Aide | 7529 Santa Monica Dr, Margate, FL 33063-1205 | 2008-08-21 |
| 1376719377 | Pamela Jean Green | Nurse Practitioner | 5939 Blazing Star Rd, Frisco, TX 75034-1709 | 2008-04-30 |
| 1831721026 | Pamela Marie Green | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-02-06 |
| 1902458995 | Pamela Denise Green | Social Worker | 307 Hayes St, Rayville, LA 71269-2531 | 2019-07-10 |
| 1851852982 | Pamela Michelle Green | Counselor | 3288 El Cajon Blvd Ste 13, San Diego, CA 92104-1430 | 2019-03-29 |
| Street Address |
6986 JACK HORNER LN |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193334 | All Executive Healthcare Agency LLC | Home Health | 841 Prudential Dr Ste 1211, Jacksonville, FL 32207-8329 | 2020-10-26 |
| 1013516335 | Melissa Horne | Home Health | 2426 Lotus Rd E, Jacksonville, FL 32211-4169 | 2020-10-19 |
| 1114525821 | Sep Companion Services | Home Health | 1979 Lane Ave S, Jacksonville, FL 32210-2741 | 2020-10-14 |
| 1235737925 | Concierge Home Care of Jacksonville 2, LLC | Home Health | 4655 Salisbury Rd Ste 110, Jacksonville, FL 32256-0957 | 2020-10-14 |
| 1821696808 | Above and Beyond Solutions LLC | Home Health | 8030 Loch Lomond Ln, Jacksonville, FL 32244-5519 | 2020-10-13 |
| 1891302386 | Deanna Domineck | Home Health | 913 Lord Nelson Blvd, Jacksonville, FL 32218-6755 | 2020-09-28 |
| 1861009359 | A Serene Services LLC | Home Health | 8553 Argyle Business Loop Ste 5e, Jacksonville, FL 32244-6604 | 2020-09-28 |
| 1770199317 | Alpha 1st Home Health Care | Home Health | 1619 Nottingham Knoll Dr, Jacksonville, FL 32225-2665 | 2020-09-18 |
| 1255944682 | Life Assistance and Management Agency | Home Health | 7606 Tarleton Rd, Jacksonville, FL 32208-3433 | 2020-08-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
Please comment or provide details below to improve the information on MRS. PAMELA KELLAM GREEN.
| 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.