MRS. MARILYNN PRUITT


Address: 108 Belvedere Court, Cleveland, MS 38732
Phone: 6628439172

MRS. MARILYNN PRUITT (NPI# 1023629219) 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) 1023629219
Entity Type Individual
Full Name MRS. MARILYNN PRUITT
Practice Address 108 Belvedere Court
Cleveland
MS 38732
Practice Telephone 6628439172
Mailing Telephone 6628439172
Enumeration Date 2020-08-12
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

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 108 BELVEDERE COURT
City CLEVELAND
State MS
Zip Code 38732

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417322587 United Family Life Center Clinic/Center 1101 S Martin Luther King Drive, Cleveland, MS 38732 2015-12-01
1346661584 Rebecca Winters Speech-Language Pathologist 4036 Hwy 8 East, Cleveland, MS 38732 2013-12-13
1982973186 Delta Home Health Inc Home Health 300-b South Street, Cleveland, MS 38732 2011-12-19
1730467382 Reid Farmer Davis Medico Clinic/Center 4080 Highway 8 West, Cleveland, MS 38732 2011-08-01
1700181427 Sondra Speakes Huerta Speech-Language Pathologist 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 2011-01-12
1386956027 Delta Soul Medical, LLC Hospice Care, Community Based 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 2010-07-10
1700029675 Jlrl, LLC Dentist 716 First Street, Cleveland, MS 38732 2009-04-08
1417194978 Bolivar Emergency Group LLC Physician Assistant 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 2009-01-20
1902055767 Word of Deliverance Adult Day Care Custodial Care Facility 509 Davis Avenue, Cleveland, MS 38732 2008-09-16
1023264934 Borders-blackwell Medical & Wellness Corporation Clinic/Center 321 S Sharpe Ave, Post Office Box 1998, Cleveland, MS 38732 2008-08-12
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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
1851998835 India Bennett Technician 12000 Hastings Rd, Cleveland, OH 44125-4344 2020-10-03
1093335564 Shantel Binford Technician 18404 Hiller Ave, Cleveland, OH 44119-1710 2020-04-24
1619510419 Gwen Burtin Technician 9908 Kennedy Ave, Cleveland, OH 44104 2019-10-24
1649821422 Larry Hollimon Technician 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 2019-09-24
1902456114 Brittani P Munck Technician 147 Gable Dr Nw, Cleveland, TN 37312 2019-09-19
1962056689 Karen Kay Pederson Technician 111 Deer Trl Nw, Cleveland, TN 37312-1110 2019-07-31
1902223779 Solutions Hcs LLC Technician 540 East 105th Street Ste. 205-a, Glenville Enterprise Center, Cleveland, OH 44108 2014-03-18
1104165000 Kristin Anne Hill Technician 5204 E 254th St, United States, Cleveland, MO 64734-8133 2013-02-12
1215581913 Gary Duane Pederson Technician 111 Deer Trl Nw, Cleveland, TN 37312-1110 2019-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467050617 Maria Annette Seale Technician 504 Merganser Trl, Clinton, MS 39056-6262 2020-10-10
1295341980 Penny Winstead Technician 1523 Highway 13 N, Brandon, MS 39042-7480 2020-09-18
1316559966 Royeisha Deshawn Walker Technician 3635 Hancock St, Jackson, MS 39213-5803 2020-08-17
1245855790 Hayley Caughman Technician 902 Stratford Ln, Amory, MS 38821-2009 2020-06-10
1033733738 John Flowers Technician 4417 27th St, Meridian, MS 39307-4272 2020-05-29
1689297731 Judy Johnson Stuart Technician 169 Robinhood Trl, Brandon, MS 39042-9456 2020-05-23
1386265627 Lillie Mae Lockett Technician 1025 Ritchie Ave, Clarksdale, MS 38614 2020-04-28
1407481500 Jannie M. King Technician 158 Waco Road, Inverness, MS 38753 2020-03-09
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1326688664 Breanna Blackwell Technician 12451c Highway 80, Chunky, MS 39323-9692 2020-01-15
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Competitor

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City CLEVELAND
Zip Code 38732

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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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