MRS. SHADAE KEILIA KLECKLEY


Address: 19 Dixwell Road, New City, NY 10956
Phone: 9175655207

MRS. SHADAE KEILIA KLECKLEY (NPI# 1023659703) 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) 1023659703
Entity Type Individual
Full Name MRS. SHADAE KEILIA KLECKLEY
Practice Address 19 Dixwell Road
New City
NY 10956
Practice Telephone 9175655207
Mailing Telephone 9175655207
Enumeration Date 2019-10-03
Last Update Date 2019-10-03
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 19 DIXWELL ROAD
City NEW CITY
State NY
Zip Code 10956

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326518911 Jenna Marie Rogoff Occupational Therapy Assistant 254 S Main Street Suite 400, New City, NY 10956 2018-11-27
1326515065 Dynamic Dental Arts of Rockland Pllc Dentist 345 North Main St. Ste. 5, New City, NY 10956 2018-10-31
1760981062 Alyssa Rothschild Taxin Nutritionist 18 Snowdrop Drive, New City, NY 10956 2018-02-02
1245738103 Martin A Petersel Counselor 3 Rexal Court, New City, NY 10956 2018-01-25
1831601475 Carissa Aurellano Occupational Therapist 873 Rte 45 Ste 102, New City, NY 10956 2017-11-03
1376064055 Evelyn Ringel Specialist 14 Concord Drive, New City, New City, NY 10956 2017-07-03
1720517089 Orlee Elizabeth Krass Specialist 2, Woodland Road, New City, NY 10956 2017-06-08
1639617293 Ann Damiani Orlando Registered Nurse 32 Twin Elms Lane, New City, NY 10956 2017-02-03
1225496300 Timber Counseling Corp. Community/Behavioral Health 115 North Main Street, New City, NY 10956 2016-02-04
1588029854 Michael Farsetta Pharmacist 2 Courtney Drive, New City, NY 10956 2015-12-30
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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 state

NPI Name Taxonomy Address Enumeration
1649885666 Carole Jane Pelaia Technician 100 Forrestal Hts, Beacon, NY 12508-3733 2020-09-15
1194340950 Barbara Dore Russell Technician 43 Hillsboro Dr, Orchard Park, NY 14127-3433 2020-06-08
1316560105 Baw Su Technician 341 Oliver St, N Tonawanda, NY 14120-7227 2020-05-27
1255953782 Tina Marie Loucks Technician 6294 Fulford Hill Rd, Bath, NY 14810-8156 2020-05-06
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1891324240 Crystal Lynn Booth Technician 5510 Fortuna Pkwy, Clay, NY 13041-8929 2020-04-07
1366076788 Patricia Metznik Garcia Technician 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 2020-02-25
1578196549 Ernesto Murray Technician 463 East 178st Apt#3b, Bronx New York, NY 10457 2020-02-19
1588204317 Jeanie L Phillips Technician 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 2020-01-09
1568001972 William B Love Technician 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 2020-01-02
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Competitor

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City NEW CITY
Zip Code 10956

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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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