MS. KIAH MITCHELL


Address: 723 Caroline Ave, Valley Stream, NY 11580-1226
Phone: 5168724251

MS. KIAH MITCHELL (NPI# 1073910857) 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) 1073910857
Entity Type Individual
Full Name MS. KIAH MITCHELL
Credential LPN
Practice Address 723 Caroline Ave
Valley Stream
NY 11580-1226
Practice Telephone 5168724251
Enumeration Date 2014-11-22
Last Update Date 2014-11-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 299726-1 NY Nursing & Custodial Care Facilities

Office Location

Street Address 723 CAROLINE AVE
City VALLEY STREAM
State NY
Zip Code 11580-1226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104277144 Sensacare Inc Licensed Practical Nurse 723 Caroline Ave, Valley Stream, NY 11580-1226 2016-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807276 Jason Diana Lmsw Clinic/Center 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 2020-10-09
1346853033 R.l. Physical Therapy Physical Therapist 1676 Putney Road, Valley Stream, NY 11580 2020-08-24
1427523869 Jessica Doyle Social Worker 5-11 Pflug Pl, Valley Stream, NY 11580 2018-10-12
1013491026 Syeda Afshan Firdous Licensed Practical Nurse 13 Cleaveland St, Valley Stream, NY 11580 2018-09-17
1700377934 Jisha Merin Mathew Nurse Practitioner 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 2018-05-23
1669970273 Terrice Bell Social Worker 50 W Hawthorne Avenue, Valley Streams, NY 11580 2018-01-29
1659883718 Rita M. Fowler Registered Nurse 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 2017-10-30
1881104768 Sharon Stephenson Peer Specialist 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 2017-10-05
1356850200 Barry Henderson Case Manager/Care Coordinator 23 Marlow Road, Valley Stream, NY 11580 2017-09-22
1922526565 Aneta Kaczmarski Physical Therapy Assistant 299 North Corona Ave, Valley Stream, NY 11580 2017-09-05
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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1962964841 Sapphire Hc, LLC Nursing Facility/Intermediate Care Facility 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 2019-04-01
1013441328 Caring Hands Home Care Nursing Facility/Intermediate Care Facility 65 Cheryl Drive, Ronkonkoma, NY 11779 2017-04-13
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
1932641867 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 917 Rainbow Commons, Melville, NY 11747 2016-11-09
1861944167 Sabine Valme Nursing Facility/Intermediate Care Facility 929 E 87th St, Brooklyn, NY 11236-3908 2016-11-03
1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03
1164885166 Independent Group Home Living Program Inc Nursing Facility/Intermediate Care Facility 908 Melville Estates, Melville, NY 11747 2016-03-29
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1417338005 Hotel Benefit Funds Nursing Facility/Intermediate Care Facility 625 Main St Apt 1432, New York, NY 10044-0036 2015-06-09
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Competitor

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City VALLEY STREAM
Zip Code 11580

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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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