KING MALONE III (NPI# 1073123311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073123311 |
| Entity Type | Individual |
| Full Name | KING MALONE III |
| Practice Address |
1193 E 172nd St Cleveland OH 44119-3153 |
| Practice Telephone | 2169703287 |
| Mailing Telephone | 2169703287 |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1193 E 172ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44119-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1194216341 | Margaret Rachelle Logan | Counselor | 17809 Neff Rd, Cleveland, OH 44119 | 2018-05-23 |
| 1093230526 | Brittany Martin | Registered Nurse | 1060 East 177th, Cleveland, OH 44119 | 2017-08-05 |
| 1881047454 | Vanessa Renee Smith | Registered Nurse | 671 E. 200th St, Euclid, OH 44119 | 2016-07-19 |
| 1710395264 | Lakeshore Intergenerational School | Psychologist | 18025 Marcella Rd, Cleveland, OH 44119 | 2014-07-29 |
| 1184967820 | Latonya Robinson | Licensed Practical Nurse | 18001 Harland Ave, Cleveland, OH 44119 | 2013-04-01 |
| 1396016911 | Tameika Annmarie Anderson | Registered Nurse | 20301 Lindbergh Ave., Euclid, OH 44119 | 2012-01-13 |
| 1871805077 | Tabitha L White | Licensed Practical Nurse | 18016 Hiller Ave, Cleveland, OH 44119 | 2010-07-06 |
| 1659573277 | Deborah M Barker | Physical Therapist | 18901 Lakeshore Blvd., Euclid, OH 44119 | 2007-06-05 |
| 1861694234 | University Primary Care Practices Inc | Podiatrist | 18599 Lake Shore Blvd Ste 600, Euclid, OH 44119 | 2007-06-05 |
| Find all providers in zip 44119 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| 1639704802 | Laresha M Duckworth | Case Manager/Care Coordinator | 16001 Grovewood Ave, Cleveland, OH 44110-1411 | 2020-03-09 |
| Find all providers in CLEVELAND | ||||
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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.