JENNIFER TARIN HEREDIA (NPI# 1023526100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023526100 |
| Entity Type | Individual |
| Full Name | JENNIFER TARIN HEREDIA |
| Practice Address |
4340 Pekrul Cir Odessa TX 79766 |
| Practice Telephone | 4327708732 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
4340 PEKRUL CIR |
| City | ODESSA |
| State | TX |
| Zip Code | 79766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838572 | Ashlee Lynn Bonner | Physical Therapy Assistant | 16601 S Quail Rd, Odessa, TX 79766-1368 | 2020-10-09 |
| 1881194504 | Myra Sanchez Hunter | Licensed Vocational Nurse | 1974 Lone Star Dr, Odessa, TX 79766-9026 | 2018-02-19 |
| 1598379570 | Marisela Mendoza | Licensed Vocational Nurse | 1820 Lone Star Dr, Odessa, TX 79766-9040 | 2020-09-07 |
| 1417430265 | Yesenia Lopez | Registered Nurse | 1475 E Schirra Dr, Odessa, TX 79766-9227 | 2018-09-07 |
| 1134740822 | Debie Anne Sosa | Technician | 9808 S Us Highway 385, Odessa, TX 79766-9246 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1871193862 | Kayla M Roossinck | Pharmacist | 4230 Jbs Pkwy, Odessa, TX 79762-8153 | 2020-10-28 |
| 1093314528 | Ngozi Helen Eluma | Registered Nurse | 3727 Andrews Hwy Apt 2903, Odessa, TX 79762-6317 | 2020-10-26 |
| 1467051656 | Charlotte Sophia Mikulak | Registered Nurse | 2280 Long Spur, Odessa, FL 33556-4055 | 2020-10-20 |
| 1639776115 | Taylor Marie Russell | Nurse Practitioner | 15217 Wind Whisper Dr, Odessa, FL 33556-1832 | 2020-10-07 |
| 1942807045 | Meghan Elizabeth Brushwood | Occupational Therapist | 15114 Arbor Hollow Dr, Odessa, FL 33556-3143 | 2020-10-02 |
| 1376150102 | Paul Joseph Baquirin | Family Medicine | 1403 E Century Ave, Odessa, TX 79762-7743 | 2020-09-25 |
| 1003423047 | Kathy Kim-nhung Duong | Licensed Vocational Nurse | 2306 Boise Dr, Odessa, TX 79762-2109 | 2020-09-24 |
| 1710593520 | Bobby Don Wilkerson | Physical Therapy Assistant | 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | 2020-09-17 |
| 1346856275 | Alexis Parker | Nurse Practitioner | 15625 Hawks Crest Loop, Odessa, FL 33556-1701 | 2020-09-16 |
| Find all providers in ODESSA | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972054252 | Asg Support Services Inc | In Home Supportive Care | 16501 Nikki Ln, Odessa, FL 33556-6007 | 2016-10-20 |
| 1811349350 | Loving It Home Care Agency LLC. | In Home Supportive Care | 14746 Sassandra Dr, Odessa, FL 33556-3811 | 2016-07-08 |
| 1679082887 | Crossland Care, Inc | In Home Supportive Care | 2020 E 8th St, Odessa, TX 79761 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275794 | Tonya Comaneci Barnes | In Home Supportive Care | 812 Savannah Cv, Elgin, TX 78621-1253 | 2020-11-04 |
| 1487255733 | Providing Providers LLC | In Home Supportive Care | 2130 Alexandra Ct, Brownsville, TX 78521-7677 | 2020-11-03 |
| 1316548787 | Stephanie Rodgers | In Home Supportive Care | 938 Hawberry Heights Rd, Richmond, TX 77406-7223 | 2020-11-03 |
| 1518568922 | Dignified Care, LLC | In Home Supportive Care | 6418 Eckhert Rd Apt 3203, San Antonio, TX 78240-3097 | 2020-11-03 |
| 1093315913 | Pink Scrubs Home Health Agency LLC | In Home Supportive Care | 10815 Baucum Rd, Waxahachie, TX 75167-7614 | 2020-10-29 |
| 1164022034 | Saint Michael's Home Health Care LLC | In Home Supportive Care | 1132 Champlain Dr, Brownsville, TX 78526-1246 | 2020-10-29 |
| 1477153682 | Juan Miguel Torres | In Home Supportive Care | 745 E Saint Charles St Ste A, Brownsville, TX 78520-5219 | 2020-10-27 |
| 1518566322 | Omni Home Care Agency LLC | In Home Supportive Care | 8008 Splitrail Ct, Arlington, TX 76002-4488 | 2020-10-22 |
| 1558960724 | St Joseph's Adult Healthcare | In Home Supportive Care | 15801 Chase Hill Blvd Apt 705, San Antonio, TX 78256-1039 | 2020-10-20 |
| 1679172902 | Cam's Care LLC | In Home Supportive Care | 344 E Louisiana St, Mckinney, TX 75069-4334 | 2020-10-19 |
| 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.