AUGIE WALLACE (NPI# 1083083455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083083455 |
| Entity Type | Individual |
| Full Name | AUGIE WALLACE |
| Practice Address |
4312 Main St Apt 316 Philadelphia PA 19127-1531 |
| Practice Telephone | 4844338208 |
| Mailing Telephone | 4844338208 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 28613601 | PA | Nursing Service Related Providers |
| Street Address |
4312 MAIN ST APT 316 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19127-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
| 1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
| 1033690920 | Extremity Care, LLC | Durable Medical Equipment & Medical Supplies | 3901 Main Street, Suite 101a, Philadelphia, PA 19127 | 2018-08-28 |
| 1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
| 1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
| 1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
| 1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
| 1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
| 1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in zip 19127 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639594 | Williamina Lebaga | Home Health Aide | 4032 Markland St, Philadelphia, PA 19124-5330 | 2020-11-03 |
| 1104433994 | Sean A Maddox | Home Health Aide | 6015 N American St, Philadelphia, PA 19120-1807 | 2020-09-25 |
| 1114533528 | Top Notch Home Care LLC | Home Health Aide | 6328 Glenloch St, Philadelphia, PA 19135-3204 | 2020-09-21 |
| 1629689047 | Makia Scott | Home Health Aide | 818 South St Apt 4, Philadelphia, PA 19147-2046 | 2020-08-10 |
| 1265054977 | Safe Harbor 2 Home Care Agency, LLC | Home Health Aide | 2418 N 15th St, Philadelphia, PA 19132-4435 | 2020-05-15 |
| 1528689502 | Gloria Alisa Tankard | Home Health Aide | 1220 Herbert St Fl 2, Philadelphia, PA 19124-2935 | 2020-05-01 |
| 1972132397 | Natasha Tillman | Home Health Aide | 2032 S 6th St, Philadelphia, PA 19148-2437 | 2020-04-07 |
| 1801423140 | Demare Tyson | Home Health Aide | 1601 E Mount Airy Ave Apt 2b, Philadelphia, PA 19150-1142 | 2020-03-25 |
| 1831721539 | Beverley Thomas | Home Health Aide | 6145 Morton St, Philadelphia, PA 19144-1002 | 2020-02-10 |
| 1831729029 | Samantha Danielle Dupriest | Home Health Aide | 5733 Spruce St, Philadelphia, PA 19139-3809 | 2020-01-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19127 |
Please comment or provide details below to improve the information on AUGIE WALLACE.
| 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.