DEMARE TYSON (NPI# 1801423140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801423140 |
| Entity Type | Individual |
| Full Name | DEMARE TYSON |
| Practice Address |
1601 E Mount Airy Ave Apt 2b Philadelphia PA 19150-1142 |
| Practice Telephone | 2678863906 |
| Mailing Telephone | 2678863906 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | PA | Nursing Service Related Providers |
| Street Address |
1601 E MOUNT AIRY AVE APT 2B |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19150-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
| 1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
| 1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
| 1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
| 1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
| 1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
| Find all providers in zip 19150 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639594 | Williamina Lebaga | Home Health Aide | 4032 Markland St, Philadelphia, PA 19124-5330 | 2020-11-03 |
| 1104433994 | Sean A Maddox | Home Health Aide | 6015 N American St, Philadelphia, PA 19120-1807 | 2020-09-25 |
| 1114533528 | Top Notch Home Care LLC | Home Health Aide | 6328 Glenloch St, Philadelphia, PA 19135-3204 | 2020-09-21 |
| 1629689047 | Makia Scott | Home Health Aide | 818 South St Apt 4, Philadelphia, PA 19147-2046 | 2020-08-10 |
| 1265054977 | Safe Harbor 2 Home Care Agency, LLC | Home Health Aide | 2418 N 15th St, Philadelphia, PA 19132-4435 | 2020-05-15 |
| 1528689502 | Gloria Alisa Tankard | Home Health Aide | 1220 Herbert St Fl 2, Philadelphia, PA 19124-2935 | 2020-05-01 |
| 1972132397 | Natasha Tillman | Home Health Aide | 2032 S 6th St, Philadelphia, PA 19148-2437 | 2020-04-07 |
| 1831721539 | Beverley Thomas | Home Health Aide | 6145 Morton St, Philadelphia, PA 19144-1002 | 2020-02-10 |
| 1831729029 | Samantha Danielle Dupriest | Home Health Aide | 5733 Spruce St, Philadelphia, PA 19139-3809 | 2020-01-16 |
| 1255971750 | Beeyond Care LLC | Home Health Aide | 4026 Parrish St Apt 2, Philadelphia, PA 19104-4836 | 2020-01-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19150 |
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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.