TRACIE ROULHAC BASS


Address: 1160 Mohawk St Apt 1, Jacksonville, FL 32205-0905
Phone: 9044445214

TRACIE ROULHAC BASS (NPI# 1861958548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861958548
Entity Type Individual
Full Name TRACIE ROULHAC BASS
Practice Address 1160 Mohawk St Apt 1
Jacksonville
FL 32205-0905
Practice Telephone 9044445214
Mailing Telephone 9044445214
Enumeration Date 2019-02-18
Last Update Date 2019-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376J00000X Homemaker FL Nursing Service Related Providers

Office Location

Street Address 1160 MOHAWK ST APT 1
City JACKSONVILLE
State FL
Zip Code 32205-0905

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1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
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1649645144 Magaly Perez-cruz Speech-Language Pathologist 4101-1 College Street, Jacksonville, FL 32205 2015-12-09
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1437434222 Christopher Styer Pharmacist 654 Casset Ave, Jacksonville, FL 32205 2011-10-12
1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
1922244821 Danielle Marie Sergent Physical Therapist 5222 Lenox Ave., Jacksonville, FL 32205 2008-12-23
1427181775 Lapp & Associates Behavioral Counselind Ctr Counselor 931 Cassat Avenue, Jacksonville, FL 32205 2007-03-14
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Taxonomy Information

Taxonomy Code 376J00000X
Grouping Nursing Service Related Providers
Classification Homemaker

Taxonomy Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518572981 La'toya Renee Jones Homemaker 2138 Wiley Oaks Ln, Jacksonville, FL 32210-2692 2020-09-12
1346855939 Tina Sines Homemaker 1214 Labelle St Apt 159, Jacksonville, FL 32205-6975 2020-09-10
1437761830 Johanna I Gates Homemaker 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 2020-08-18
1659983203 Paula Ravnell Homemaker 7707 Merrill Rd Ste 11965, Jacksonville, FL 32277-3714 2020-08-17
1790395267 Paris Toins Homemaker 1728 Keats Rd, Jacksonville, FL 32208-3122 2020-08-08
1932719333 G.a.c. Support Services, LLC Homemaker 6532 Gentle Oaks Dr S, Jacksonville, FL 32244-3660 2020-07-31
1154930527 Tysheana Peterson Homemaker 6717 Southern Oaks Dr, Jacksonville, FL 32244-3675 2020-07-30
1336757475 Jessica G Wright Homemaker 439 W 26th St, Jacksonville, FL 32206-1923 2020-07-15
1689292526 Kedisha Mauraine Goldsmith Homemaker 6088 Davon St, Jacksonville, FL 32244-3178 2020-07-07
1982221099 Sandrika Powell Homemaker 5620 Collins Rd Apt 302, Jacksonville, FL 32244-6910 2020-07-06
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Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

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.

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