CANDICE LYNN MANGERIS (NPI# 1902404429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902404429 |
| Entity Type | Individual |
| Full Name | CANDICE LYNN MANGERIS |
| Practice Address |
1462 Rowland Ave Ne Canton OH 44705-1569 |
| Practice Telephone | 3309069663 |
| Mailing Telephone | 3309069663 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0221626 | 05 |
| Street Address |
1462 ROWLAND AVE NE |
| City | CANTON |
| State | OH |
| Zip Code | 44705-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609395623 | Catherine Dana Tavares | Registered Nurse | 5321 Johnnycake Ridge Ne, Canton, OH 44705 | 2017-09-11 |
| 1790168706 | Vicki T Perrin | Home Health Aide | 3033 Endrow Ave Ne, Canton, OH 44705 | 2015-07-08 |
| 1679066542 | Atlantic Dme LLC | Durable Medical Equipment & Medical Supplies | 3501 Lesh St Ne, Canton, OH 44705 | 2018-06-14 |
| 1982262432 | Ciara A Davenport | Nurse's Aide | 809 Gibbs Ave Ne, Canton, OH 44705-1009 | 2019-05-30 |
| 1952790594 | Ivory Hollamon | Home Health Aide | 1209 Lippert Rd Ne, Canton, OH 44705-1019 | 2015-01-20 |
| 1003842196 | Lana May Butcher | Home Health Aide | 1219 Lippert Rd Ne, Canton, OH 44705-1019 | 2006-06-23 |
| 1124628896 | Asia Annette Everett | Home Health Aide | 918 Rowland Ave Ne, Canton, OH 44705-1064 | 2020-10-30 |
| 1396196267 | Pennie Lynn Mathewson | Student in an Organized Health Care Education/Training Program | 1309 Lawrence Rd Ne, Canton, OH 44705-1102 | 2016-06-22 |
| 1043861982 | Ravon L. Wise | Home Health Aide | 1130 12th St Ne, Canton, OH 44705-1120 | 2019-09-23 |
| 1518412360 | Angels In Mission | In Home Supportive Care | 1043 Rowland Ave Ne, Canton, OH 44705-1166 | 2016-08-22 |
| Find all providers in zip 44705 | ||||
| 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 |
|---|---|---|---|---|
| 1124628896 | Asia Annette Everett | Home Health Aide | 918 Rowland Ave Ne, Canton, OH 44705-1064 | 2020-10-30 |
| 1609476571 | Tottie A Porrini | Home Health Aide | 5029 West Blvd Nw, Canton, OH 44718-1415 | 2020-10-29 |
| 1912506783 | Carla Marie Solvey | Home Health Aide | 1221 Whipple Ave Sw, Canton, OH 44710-1317 | 2020-10-22 |
| 1063019024 | Pamela Kay Pirolozzi | Home Health Aide | 1520 16th St Nw, Canton, OH 44703-1040 | 2020-10-02 |
| 1467069096 | Terri Freeman | Home Health Aide | 1021 Sherrick Rd Se, Canton, OH 44707-3506 | 2020-09-28 |
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1629683917 | Lisa Haller | Home Health Aide | 6465 Ridgewood St Sw, Canton, OH 44706-3141 | 2020-09-13 |
| 1740895267 | Janice Dougherty | Home Health Aide | 5353 S Island Dr Nw, Canton, OH 44718-1672 | 2020-09-11 |
| 1417560616 | Ashley Davenport | Home Health Aide | 2241 16th St Ne, Canton, OH 44705-2001 | 2020-08-26 |
| 1295345536 | Kimberly Latrice Erby | Home Health Aide | 4161 Brighton Ln, Canton, MI 48188-7202 | 2020-08-02 |
| Find all providers in CANTON | ||||
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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.