DEBORAH SHEALEY (NPI# 1972133023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972133023 |
| Entity Type | Individual |
| Full Name | DEBORAH SHEALEY |
| Credential | MDIV; DCC |
| Practice Address |
4179 Indian Spring Rd Green Bay VA 23942-2516 |
| Practice Telephone | 4343903111 |
| Mailing Telephone | 4343903111 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4179 INDIAN SPRING RD |
| City | GREEN BAY |
| State | VA |
| Zip Code | 23942-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699961425 | Betty Jane Hubbard | Taxi | 164 Dale Dr, Green Bay, VA 23942-2479 | 2007-09-14 |
| 1386162535 | Eagle Transport Services LLC | Non-emergency Medical Transport (VAN) | 164 Dale Dr, Green Bay, VA 23942-2479 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810898 | Courtney L Schumacher | Registered Nurse | 162 Custer Ct, Green Bay, WI 54301-1243 | 2020-10-30 |
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 2020-09-15 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1851909832 | Gina Jimenez | Midwife | 1002 S Fisk St Ste 150, Green Bay, WI 54304-2277 | 2020-07-16 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| Find all providers in GREEN BAY | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112003 | Daquet Reed | Home Health | 1345 W Mason St Ste 202, Green Bay, WI 54303-2049 | 2020-04-08 |
| 1245779743 | Ohana Home Care Agency, LLC | Home Health | 1600 S Ashland Ave Ste 203, Green Bay, WI 54304-3690 | 2017-02-16 |
| 1356798375 | Hha of Wisconsin, LLC | Home Health | 2100 Riverside Dr Ste 103, Green Bay, WI 54301-2375 | 2016-05-19 |
| 1013300060 | Pas De Deux LLC | Home Health | 200 Arbor Ln, Green Bay, WI 54301-1604 | 2015-03-16 |
| 1730443565 | Njcare, Inc. | Home Health | 1133 Moraine Way, Suite # 4, Green Bay, WI 54303-9412 | 2012-06-26 |
| 1952688426 | Wisconsin Home Health Care, LLC | Home Health | 840 Challenger Dr Ste 161, Green Bay, WI 54311-8351 | 2011-11-10 |
| 1467602847 | Amedisys Wisconsin LLC | Home Health | 2120 S Ridge Rd, Green Bay, WI 54304-4327 | 2008-09-23 |
| 1417161316 | Interim Healthcare of Ne Wi Inc | Home Health | 2551 Continental Ct, Ste 2, Green Bay, WI 54311-6090 | 2007-05-09 |
| 1679556526 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Home Health | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2005-11-23 |
| 1255795845 | Saha Cares | Home Health | 1845 Velp Ave, Suite F, Green Bay, WI 54303-6594 | 2016-04-08 |
| Find all providers in GREEN BAY | ||||
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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.