SHADOW NURSING (NPI# 1982029476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982029476 |
| Entity Type | Organization |
| Organization Name | SHADOW NURSING |
| Practice Address |
2501 N Western Ave Oklahoma City OK 73106-5637 |
| Practice Telephone | 4058241378 |
| Practice Fax Number | 4056017823 |
| Mailing Telephone | 4058241378 |
| Mailing Fax Number | 4056017823 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | MRS. MONICA ALAINE TUCKER (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 4058241378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
2501 N WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073727434 | Brenda Michele Parra | Respite Care | 625 Se 38th St, Lawton, OK 73501-8401 | 2007-05-09 |
| 1477659324 | Adult Day Services of Southern Oklahoma, Inc. | Respite Care | 1902 Shenandoah Dr, Ardmore, OK 73401-1217 | 2006-09-16 |
| 1598093247 | Williams-simpkins Inc. | Respite Care | 1908 E Gore Blvd, Lawton, OK 73501-6128 | 2009-11-18 |
| 1831336189 | Sunny Days Adult Daycare Center | Respite Care | 700 S Pecan St, Pauls Valley, OK 73075-5049 | 2009-01-08 |
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
Please comment or provide details below to improve the information on SHADOW NURSING.
| 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.