THERESA ROUSE (NPI# 1790385193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790385193 |
| Entity Type | Individual |
| Full Name | THERESA ROUSE |
| Practice Address |
640 Cutlip Rd Jackson OH 45640-9451 |
| Mailing Address |
638 Cutlip Rd Jackson OH 45640-9451 |
| Practice Telephone | 7407102681 |
| Mailing Telephone | 7407102681 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO DODD | 4064686 | 01 |
| OH | 0164124 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171326 | Theresa Rouse | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2018-01-02 |
| Street Address |
640 CUTLIP RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922789 | Linda Vaughn | Technician | 5433 State Route 139, Jackson, OH 45640-9271 | 2020-11-02 |
| 1871190777 | Sandra Kay Dempsey | Technician | 110 Morton St, Jackson, OH 45640-1335 | 2020-10-04 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1164063376 | Reginald Lumpkin | Technician | 1160 Joanne St Apt 108, Jackson, MS 39204-5253 | 2019-09-30 |
| 1770098295 | Angelica Ross | Technician | 128 Devonshire Sq, Jackson, TN 38305-2229 | 2017-12-06 |
| 1972032159 | Sherice Shunta Stutts-walker | Technician | 6451 Homewood Cir, Jackson, MS 39213-7814 | 2017-06-09 |
| 1689114233 | Peggy Clayborne | Technician | 219 Ford Ave, Jackson, MS 39209-3322 | 2017-03-01 |
| 1669857363 | Marvina Wright | Technician | 5512 N Silverton St, Jackson, SC 29831-3170 | 2015-07-22 |
| 1104210657 | Lorrine Mayes | Technician | 2741 Teresa Dr, Jackson, MS 39212-2758 | 2015-03-23 |
| 1356734297 | Marilyn Loomis | Technician | 141 N Jackson St, Jackson, MI 49201-1201 | 2015-03-17 |
| Find all providers in JACKSON | ||||
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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.