JOSH TIDWELL (NPI# 1073153896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153896 |
| Entity Type | Individual |
| Full Name | JOSH TIDWELL |
| Practice Address |
2171 N Avondale Pl Indianapolis IN 46218-3867 |
| Practice Telephone | 3175418748 |
| Mailing Telephone | 3175418748 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
2171 N AVONDALE PL |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829969 | Desmond Mathews | Counselor | 2171 N Avondale Pl, Indianapolis, IN 46218-3867 | 2020-01-06 |
| 1144869355 | Latasha A Hudson | Counselor | 2171 N Avondale Pl, Indianapolis, IN 46218-3867 | 2020-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877303 | Quiana Wilson | Technician | 3209 Elmhurst Dr, Indianapolis, IN 46226-6221 | 2020-06-26 |
| 1265920391 | Janet E Smith | Technician | 6843 E 52nd St, Indianapolis, IN 46226-2645 | 2018-04-24 |
| 1750886677 | Leigh Ann Hall | Technician | 2921 Corey Dr, Indianapolis, IN 46227-5839 | 2018-03-25 |
| 1326552266 | Kellee Rembert | Technician | 3106 Jackson Square Ct Apt 18103, Indianapolis, IN 46205-3262 | 2017-11-30 |
| 1720146962 | Judy Leach | Technician | 3206 N Temple Ave, Indianapolis, IN 46218-2047 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739822 | Latorious Wilkes | Technician | 7329 Merrick Dr, Brownsburg, IN 46112-5616 | 2020-10-31 |
| 1881216331 | F & P Homecare, LLC | Technician | 4445 Commerce St Ste 201, Evansville, IN 47710-3677 | 2020-05-07 |
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1710549142 | Julie Baber | Technician | 1180 Coral Springs Dr, Cicero, IN 46034-9214 | 2019-07-05 |
| 1972016491 | At Home Helpers Inc | Technician | 8715 Kennedy Ave, Highland, IN 46322-1642 | 2017-11-06 |
| 1780126573 | Rachel Ann Mcdermott | Technician | 513 Pine Lake Ave, La Porte, IN 46350-2316 | 2016-11-09 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1043409089 | Servant's Heart Homemaker Services, LLC | Technician | 948 W Miami Ave, Logansport, IN 46947-2501 | 2007-10-16 |
| 1184682163 | Agapeliving, Inc. | Technician | 9320 Sugar Mill Dr, Fort Wayne, IN 46835-9695 | 2006-05-01 |
| 1174136980 | Shania Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on JOSH TIDWELL.
| 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.