MISS AMANDA BLOSSOM (NPI# 1780188284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780188284 |
| Entity Type | Individual |
| Full Name | MISS AMANDA BLOSSOM |
| Credential | QMHS |
| Practice Address |
1776 Tremainsville Rd Toledo OH 43613-4039 |
| Mailing Address |
885 Commerce Dr Perrysburg OH 43551-5267 |
| Practice Telephone | 4192140606 |
| Mailing Telephone | 4193305122 |
| Mailing Fax Number | 4199316820 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 06231989 | 05 |
| Street Address |
1776 TREMAINSVILLE RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740522234 | Joy G Webster | Social Worker | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2013-03-22 |
| 1487261517 | Heidi Simone | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2020-09-23 |
| 1669085783 | Alejandra C Jimenez | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2020-08-28 |
| 1023642717 | Tonda W Koszycki | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2020-03-03 |
| 1447819818 | Joshua S Fowler | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2019-06-10 |
| 1346809712 | Rebecca H Meiers | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2019-06-10 |
| 1114583465 | Laura M Shaffer | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2019-05-13 |
| 1669938221 | Katelyn C. Smith | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2019-02-19 |
| 1992296008 | Bianca S. Guerra | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2018-05-24 |
| 1548766181 | Duncan Wiley | Community/Behavioral Health | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2018-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| 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 |
|---|---|---|---|---|
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1881209104 | Jessica Rentner | Case Manager/Care Coordinator | 2440 South Ave, Toledo, OH 43609-1611 | 2020-09-14 |
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1508484957 | Lucynthia Dawn Jones | Case Manager/Care Coordinator | 2910 W Central Ave, Toledo, OH 43606-7702 | 2020-07-13 |
| 1952927790 | Jarmara Anderson | Case Manager/Care Coordinator | 420 Madison Ave Ste 550, Toledo, OH 43604-1272 | 2020-06-17 |
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1659910784 | Mariah Marcedes Garcia Liggins | Case Manager/Care Coordinator | 500 Madison Ave Ste 500, Toledo, OH 43604-1210 | 2020-01-06 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1134764434 | Pamela Dianna Welch | Case Manager/Care Coordinator | 2928 Algonquin Pkwy Lowr, Toledo, OH 43606-3747 | 2019-11-10 |
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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.