MISS SHERENDA LASHAWN ELLIS (NPI# 1821603606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821603606 |
| Entity Type | Individual |
| Full Name | MISS SHERENDA LASHAWN ELLIS |
| Practice Address |
1859 Petite Lane Lithonia GA 30058 |
| Practice Telephone | 4044213809 |
| Mailing Telephone | 4044213809 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers | ||
| N | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers | ||
| N | 171WV0202X |
Contractor Specialization: Vehicle Modifications |
Other Service Providers |
| Street Address |
1859 PETITE LANE |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| 1558768531 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058 | 2014-11-19 |
| Find all providers in zip 30058 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128193 | Oqueria Neon Frett | Contractor | 6101 Fairington Ridge Cir, Lithonia, GA 30038-5601 | 2019-01-28 |
| 1164920229 | Mara Stewart | Contractor | 1231 Old Greystone Dr, Lithonia, GA 30058-2956 | 2018-01-24 |
| 1164970091 | Christopher Etheridge | Contractor | 3918 Heritage Pointe, Lithonia, GA 30038-4078 | 2016-09-20 |
| 1275663148 | Comprehensive Family Care LLC | Contractor | 1429 Smithson Dr, Lithonia, GA 30058-6155 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900011 | Tamekia Richardson | Contractor | 861 Frank Rd, Fitzgerald, GA 31750-9049 | 2020-10-20 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1790392652 | Najee Shafi | Contractor | 100 Archstone Sq, Mcdonough, GA 30253-5820 | 2020-09-24 |
| 1144837071 | Angela M Bodie | Contractor | 406 Carrington Green Pkwy, Mcdonough, GA 30252-7693 | 2020-09-24 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1407462401 | Pamela Woodard | Contractor | 868 Cochise Trl Se, Conyers, GA 30094-4538 | 2020-09-16 |
| 1316551377 | Holland Consulting Practice LLC | Contractor | 6307 Towne Lake Hts, Woodstock, GA 30189-4245 | 2020-09-07 |
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
| 1669085924 | Shelita Ekarika | Contractor | 4235 Oaknoll Cir, Duluth, GA 30096-5547 | 2020-08-26 |
| 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.