PRIVATE PRACTICE (NPI# 1093122954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093122954 |
| Entity Type | Organization |
| Organization Name | PRIVATE PRACTICE |
| Practice Address |
202 Fishpot Rd Fredericktown PA 15333-2203 |
| Practice Telephone | 7243227745 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |
| Authorized Official Name | KELLY MCCONNELL (RN) |
| Authorized Official Telephone | 7243227745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | RN320432L | PA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457796385 | Private Practice | Clinic/Center | 76 E 89th Pl, Chicago, IL 60619-6607 | 2013-05-06 |
| 1881101483 | Private Practice | Pediatrics | 18522 Canoe Brk, San Antonio, TX 78258-1641 | 2018-01-04 |
| 1811374309 | Private Practice | Clinic/Center | 30 N Michigan Ave, Suite 1002, Chicago, IL 60602-3402 | 2015-05-04 |
| 1831504703 | Private Practice | Social Worker | 125 Central St, Concord, MA 01742-2910 | 2014-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Private Practice Builders LLC | 2231 Aryness Drive, Vienna, Virginia 22181 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE CLIENTS | 15870 Sw Baler Way, Sherwood, OR 97140 |
| Massachusetts Corporations | PRIVATE PRACTICE COMPANY OF AMERICA, LLC | 40 Beach St., Ste. 202, Manchester By The Sea, MA 01944-0000 |
| Colorado Business Entities | Private Practice Consulting, LLC | 5515 Lone Eagle Ct, Boulder, CO 80301 |
| System for Award Management (SAM) Entities | PRIVATE PRACTICE OF PSYCHOLOGY, THE | 1950 Farnworth Ln #302, Northbrook, IL 60062-3770 |
| Colorado Business Entities | Private Practice of Stephen H Chou, Psy.D. | 1120 W South Boulder Rd., Suite 101e, Lafayette, CO 80026 |
| Ohio Business Entities | PRIVATE PRACTICE PARTNER, LLC | P.o. Box 827, Worthington, OH 43085-0827 |
| New York State Corporations | PRIVATE PRACTICE PROMOTION L.L.C. | 1434 Western Ave Ste 1, Albany, Ny 12203 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE PUSH | 15220 Nw Laidlaw Rd, Suite 280, Portland, OR 97229 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE REALTY, LLC | 4300 Sw Fairview Circus, Portland, OR 97221 |
| Street Address |
202 FISHPOT RD |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1730625278 | Armanda Mcgrew | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333 | 2017-01-09 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942379 | Client Care Plus LLC | In Home Supportive Care | 5835 Albion Rd, Girard, PA 16417-7415 | 2020-11-05 |
| 1780285015 | Changing Lives With Solutions Home Care Agency LLC | In Home Supportive Care | 4700 City Ave Apt 9405, Philadelphia, PA 19131-8510 | 2020-11-03 |
| 1457952087 | Born Caregivers LLC | In Home Supportive Care | 2208 S Beechwood St, Philadelphia, PA 19145-3410 | 2020-11-02 |
| 1659971364 | Kpmc Group Inc | In Home Supportive Care | 223 South 69th St, Upper Darby, PA 19082 | 2020-10-30 |
| 1154921286 | Ltl Home Care Agency, LLC. | In Home Supportive Care | 603 E Ohio St, Pittsburgh, PA 15212-5619 | 2020-10-28 |
| 1639779846 | Dream Home Care LLC | In Home Supportive Care | 2410 Glendore Dr, Harrisburg, PA 17112-9611 | 2020-10-27 |
| 1609476977 | Bona Fide Care Connections LLC | In Home Supportive Care | 6030 Chester Ave, Philadelphia, PA 19142-1411 | 2020-10-27 |
| 1902405434 | Art Care Home Health Care Agency LLC | In Home Supportive Care | 1409 W Master St Ste 107, Philadelphia, PA 19121-4339 | 2020-10-26 |
| 1437758182 | Elite Eldercare Services Inc | In Home Supportive Care | 327 Devon Dr, Lancaster, PA 17603-4609 | 2020-10-23 |
| 1851990717 | Edwards Direct Home Care Agency, LLC | In Home Supportive Care | 153 E Washington Ln, Philadelphia, PA 19144-2010 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 15333 |
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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.