MR. KENROY SHUNG (NPI# 1952513590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952513590 |
| Entity Type | Individual |
| Full Name | MR. KENROY SHUNG |
| Practice Address |
15116 Paddock Ct Victorville CA 92394-7426 |
| Practice Telephone | 7609515210 |
| Mailing Telephone | 7609515210 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
15116 PADDOCK CT |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92394-7426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1164604906 | Maxim Healthcare Services, Inc. | Home Health | 15095 Amargosa Road, Suite 102, Victorville, CA 92394 | 2007-12-04 |
| Find all providers in zip 92394 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298150 | Cheryl Denise Ward | Case Manager/Care Coordinator | 14800 Cheyenne Pl, Victorville, CA 92394-7084 | 2018-09-13 |
| 1972930881 | Joseph Toruno | Case Manager/Care Coordinator | 12188 Hesperia Rd, Victorville, CA 92395-5822 | 2013-10-09 |
| 1467731661 | Theresa Christine Rodriquez | Case Manager/Care Coordinator | 13038 Billings Ct, Victorville, CA 92395-8508 | 2011-08-05 |
| 1053919944 | Carmela Santos | Case Manager/Care Coordinator | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2020-10-13 |
| 1619588944 | Dulcinea R Catota | Case Manager/Care Coordinator | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-08-11 |
| 1588287536 | Sandra Martinez | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-05-26 |
| 1235764739 | Deborah Courtney-taylor | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-05 |
| 1134769680 | David Velasquez | Case Manager/Care Coordinator | 12188 Hesperia Rd, Victorville, CA 92395-5822 | 2020-01-13 |
| 1205472438 | Elizabeth Difox | Case Manager/Care Coordinator | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2019-11-22 |
| 1083250690 | Tonii Marie Cardoza | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-11-19 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92394 |
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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.