CLIFFORD TAGUTA (NPI# 1790208643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790208643 |
| Entity Type | Individual |
| Full Name | CLIFFORD TAGUTA |
| Practice Address |
409 N Loop 336 W Ste 2 Conroe TX 77301-1238 |
| Practice Telephone | (936) 224-9802 |
| Mailing Telephone | (936) 224-9802 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Street Address |
409 N LOOP 336 W STE 2 |
| City | CONROE |
| State | TX |
| Zip Code | 77301-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504301 | Janice Kelly | Chore Provider | 4423 Eaglewood Trail Dr, Fresno, TX 77545-9599 | 2020-09-28 |
| 1962016626 | Serenity Provider Services, LLC | Chore Provider | 107 Calle Del Norte # 17, Laredo, TX 78041-9104 | 2020-09-01 |
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1992322259 | Pebbles Jannell Tanaruno | Chore Provider | 600 University Oaks Blvd Apt J103, College Station, TX 77840-3472 | 2020-07-02 |
| 1073135745 | Nancy Concepcion | Chore Provider | 400 E Hospital Dr, Angleton, TX 77515-7751 | 2020-05-15 |
| 1235764846 | Manuel Sandoval | Chore Provider | 2639 El Indio Hwy Apt 5, Eagle Pass, TX 78852-5575 | 2020-03-04 |
| 1750914388 | Pamela Densie Ellis | Chore Provider | 1811 Rippling Water Ct, Sugar Land, TX 77479-6974 | 2020-02-21 |
| 1790315059 | Tracy Dione Adigun | Chore Provider | 2304 Oak Ln # 201-203, Grand Prairie, TX 75051-8812 | 2020-01-24 |
| 1992345862 | Roneisha Laquece Foster | Chore Provider | 618 1st St E Ste C, Humble, TX 77338-4639 | 2020-01-08 |
| 1932740404 | Betty Williams | Chore Provider | 2139 Lake Hills Dr, Kingwood, TX 77339-2332 | 2019-10-04 |
| 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.