KEITH STRADFORD (NPI# 1922632157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922632157 |
| Entity Type | Individual |
| Full Name | KEITH STRADFORD |
| Practice Address |
1340 County Pond Rd Freeman VA 23856-2604 |
| Practice Telephone | 4345326770 |
| Mailing Telephone | 4345326770 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | T69531964 | VA | Nursing Service Related Providers |
| Street Address |
1340 COUNTY POND RD |
| City | FREEMAN |
| State | VA |
| Zip Code | 23856-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295111045 | Divine Care | Home Health | 304 B New Street, Lawrenceville, VA 23856-2224 | 2015-08-04 |
| 1881247161 | Caring Hearts Home Care Services LLC | Case Manager/Care Coordinator | 1569 Glendale Mill Rd, Freeman, VA 23856-2447 | 2019-07-16 |
| 1487287173 | Sherry Wall | Case Manager/Care Coordinator | 1569 Glendale Mill Rd, Freeman, VA 23856-2447 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881247161 | Caring Hearts Home Care Services LLC | Case Manager/Care Coordinator | 1569 Glendale Mill Rd, Freeman, VA 23856-2447 | 2019-07-16 |
| 1982967451 | Dustin Charles Randall | Nurse Practitioner | 804 S. Walnut Street, Freeman, SD 57029 | 2012-06-20 |
| 1811141815 | Main Street Pharmacy I Corp | Pharmacy | 389 S Main St, Freeman, SD 57029-2337 | 2008-11-05 |
| 1447402664 | Jessica Michelle Vannorsdel | Speech-Language Pathologist | 28457 Us Highway 81, Freeman, SD 57029-6720 | 2008-10-21 |
| 1851559074 | Jennifer Louise Schultz | Speech-Language Pathologist | 43740 Us Highway 18, Freeman, SD 57029-7301 | 2008-05-23 |
| 1104967637 | Kelley L Yeokum | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27421 S State Route 2, Freeman, MO 64746-7102 | 2007-02-09 |
| 1881732675 | Thomas Oneal Ulmer | Chiropractor | 1116 South County Rd, Freeman, SD 57029 | 2007-02-02 |
| 1790835015 | Jason Aanenson, Dds, PC | Dentist | 105 E. 5th Street, Freeman, SD 57029 | 2007-01-11 |
| 1952473720 | Jason Wayne Aanenson | Dentist | 105 E. 5th St., Freeman, SD 57029-0219 | 2006-11-15 |
| 1235223942 | Salem Mennonite Home for The Aged | Assisted Living Facility | 106 W. 7th Street, Freeman, SD 57029-2319 | 2006-10-03 |
| Find all providers in FREEMAN | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107862 | Kendra Johnson | Adult Companion | 5940 Sentry Hill Ct # 9b, North Dinwiddie, VA 23803-7400 | 2020-09-07 |
| 1972114429 | Angel Florine Pye | Adult Companion | 1712 Princeton Ave, Norfolk, VA 23523-2332 | 2020-08-10 |
| 1972113199 | Hannah Beyan | Adult Companion | 13800 Coppermine Rd # 103, Herndon, VA 20171-6163 | 2020-08-03 |
| 1184263113 | Goal Succeeders | Adult Companion | 4401 Virginia Beach Blvd, Virginia Beach, VA 23462-3106 | 2019-12-20 |
| 1346886504 | Chaz Lamar Clyburn | Adult Companion | 5217 Shady Grove Ln, Virginia Beach, VA 23462-1787 | 2019-11-22 |
| 1407491244 | Clarissa Phillips | Adult Companion | 9254 Three Chopt Rd Apt C, Henrico, VA 23229-4049 | 2019-11-15 |
| 1528603172 | Quality Care At Home | Adult Companion | 5226 Whetstone Rd, North Chesterfield, VA 23234-4324 | 2019-11-07 |
| 1174165963 | Aracely Maldonado | Adult Companion | 3134 Eagle Talon St, Woodbridge, VA 22191-6509 | 2019-10-13 |
| 1770133886 | Gloria R Frye | Adult Companion | 10918 Robious Rd, North Chesterfield, VA 23235-3763 | 2019-09-19 |
| 1972155893 | Tina Kilby | Adult Companion | 430 Delaware Ave Apt 316, Norfolk, VA 23508-2847 | 2019-07-11 |
| 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.