DONALD HENDERSON JR. (NPI# 1780160697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780160697 |
| Entity Type | Individual |
| Full Name | DONALD HENDERSON JR. |
| Practice Address |
3100 E 45th St Ste 314 Cleveland OH 44127-1095 |
| Practice Telephone | 2164619622 |
| Practice Fax Number | 8884609622 |
| Mailing Telephone | 2164419622 |
| Mailing Fax Number | 8884604717 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720404825 | Donald Henderson | Community Health Worker | 4690 Nw 7th Avenue, Miami, FL 33142 | 2014-03-13 |
| 1821374463 | Donald Kirk Henderson | Counselor | 2027 Keene Cir, Spring Hill, TN 37174-2694 | 2011-10-27 |
| 1316180086 | Donald Lawrence Henderson | Pharmacist | 1327 Bel Air Rd, Bel Air, MD 21014-5108 | 2009-04-10 |
| 1578624573 | Donald Wade Henderson | Optometrist | 2709 S Kobe Mill Ed, Springfield, IL 62711 | 2006-12-13 |
| 1750300075 | Donald Rafael Henderson | Specialist | 8631 West 3rd Street, Suite 1135e, Los Angeles, CA 90048-5901 | 2006-07-18 |
| 1689653560 | Donald W Henderson | Internal Medicine | 3306 Lake Ariel Hwy, Honesdale, PA 18431-7685 | 2006-01-10 |
| 1851375406 | Donald L. Henderson | Optometrist | 1015 Summitt Sq, Middletown, OH 45042-3464 | 2005-12-06 |
| 1497820955 | Donald Taylor Henderson | Chiropractor | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2006-11-21 |
| 1447217898 | Donald W Henderson | Obstetrics & Gynecology | 1950 Sunnycrest Dr, Suite 2800, Fullerton, CA 92835-3638 | 2006-04-28 |
| Street Address |
3100 E 45TH ST STE 314 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44127-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073010849 | Anastasia L Williams | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2018-04-09 |
| 1336775790 | Carrion Nash | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1538795992 | Cathrine Norwood | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1801422266 | Tawaun Kelly | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1619503075 | Marcus Jones | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1346876703 | Laporcha Overby | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1679109037 | Randolph Givens | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1366078727 | Stan Lemichael Hayward | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1780210146 | Cassandra Lea | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| 1699301051 | Franci Mccray | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
| 1932602018 | Daisetta Harris | Counselor | 3100 East 45 Place, 212, Cleveland, OH 44127 | 2018-03-14 |
| 1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
| 1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
| 1578004065 | Lorene Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 438, Cleveland, OH 44127 | 2017-03-16 |
| 1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
| 1568881803 | Broadway Academy, Inc. | Local Education Agency (LEA) | 3398 East 55th Street, Cleveland, OH 44127 | 2014-04-15 |
| 1154665966 | Rose Ann Broadus | Home Health Aide | 3926 Mcbride Avenue, Cleveland, OH 44127 | 2012-11-16 |
| 1396002457 | Ne'cole Lynn Broadus | Home Health Aide | 5073 Pershing Avenue, Cleveland, OH 44127 | 2012-04-13 |
| 1790059764 | Sheniece Fountaine | Home Health | 7028 Ivy Ave, Cleveland, OH 44127 | 2012-03-08 |
| Find all providers in zip 44127 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1073123311 | King Malone IIi | Case Manager/Care Coordinator | 1193 E 172nd St, Cleveland, OH 44119-3153 | 2020-08-02 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| Find all providers in CLEVELAND | ||||
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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.