ELDA JEAN DAVIS


Address: 208 Juniper St, Park Forest, IL 60466
Phone: 7082028387

ELDA JEAN DAVIS (NPI# 1003464926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003464926
Entity Type Individual
Full Name ELDA JEAN DAVIS
Practice Address 208 Juniper St
Park Forest
IL 60466
Mailing Address Po Box 488
Park Forest
IL 60466
Practice Telephone 7082028387
Enumeration Date 2019-09-04
Last Update Date 2019-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 208 JUNIPER ST
City PARK FOREST
State IL
Zip Code 60466

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558806224 Cindy Okolo Nurse Practitioner 111 E Sycamore Drive Suite 303, Park Forest, IL 60466 2017-01-04
1063891984 April Washington Occupational Therapist 2 Lakewood Ct, Park Forest, IL 60466 2015-05-26
1093940363 Andrene Renee Johnson Durable Medical Equipment & Medical Supplies 3224 S Western Ave, Park Forest, IL 60466 2009-05-15
1316181597 Aunt Martha's Youth Service Center, Inc Community Based Residential Treatment Facility, Mental Illness 101 Wolpers Rd, Park Forest, IL 60466 2009-05-01
1255504155 Joyce N Onyenso Registered Nurse 1037 Monterey Ct, University Park, IL 60466 2008-04-11
1891812327 Comgraph Inc. Clinic/Center 252 Main Street, Park Forest, IL 60466 2007-03-22
1992800890 Village of Park Forest Home Health 350 Victory Drive, Lower Level, Park Forest, IL 60466 2006-09-14
1366468324 Reliable Healthcare Service LLC Registered Nurse 220 Forest Blvd, Park Forest Blvd, IL 60466 2006-07-14
1881257806 Healing Steps Counseling, PC Clinic/Center 230 Main St, Park Forest, IL 60466 2019-04-16
1508099540 Maria Arenas Radiologic Technologist 150 Well Street, Park Forest, IL 60466-0000 2009-08-25
Find all providers in zip 60466

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910505 Tishieka Hollingsworth Technician 220 Forest Blvd, Park Forest, IL 60466-2032 2020-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881294874 Paulette Lovelace Technician 521 Vicksburg Dr, Belleville, IL 62221-6670 2020-10-28
1891395893 Cheryl Lynn Eubanks Technician 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 2020-10-28
1043818446 Sabrina Marie Williams Technician 211 S Lodge St, Shelbyville, IL 62565-1951 2020-10-16
1124626213 Tonya Lee Burdell Technician 315 S Douglas St, Litchfield, IL 62056-1851 2020-10-12
1720685704 Itzayana Rodriguez Technician 5037 Carol Ct, Rockford, IL 61108-4157 2020-10-02
1871108209 Ashley Marie Dawkins Technician 528 Grant Dr, Quincy, IL 62301-7234 2020-09-11
1104437797 Stephen T Medford Technician 1017 Hartman Ln, O Fallon, IL 62269-7207 2020-08-16
1528685088 Maxine Washington Technician 2014 S. 17th Ave., Broadview, IL 60155-2906 2020-07-01
1316562788 Salli Jacobsen Technician 6699 Torch Lite Tr, Loves Park, IL 61111 2020-06-11
1356962377 Brenda Lou Isermann Technician 406 W South 2nd St, Shelbyville, IL 62565-2114 2020-04-30
Find all providers with the same taxonomy

Competitor

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City PARK FOREST
Zip Code 60466

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Dataset Information

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.

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