MR. MARCUS CARROLL (NPI# 1093365900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093365900 |
| Entity Type | Individual |
| Full Name | MR. MARCUS CARROLL |
| Practice Address |
1108 Kemper Meadow Dr Cincinnati OH 45240-4117 |
| Practice Telephone | 5133311987 |
| Mailing Telephone | 5133311987 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1108 KEMPER MEADOW DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45240-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366486177 | Cuong Van Nguyen | Chiropractor | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2006-06-15 |
| 1942801469 | Adeanna Wingfield | Case Manager/Care Coordinator | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2020-11-02 |
| 1053972919 | Kristen Bostic | Case Manager/Care Coordinator | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2019-06-21 |
| 1306311741 | Sherry Ruth Sadler | Social Worker | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2018-10-12 |
| 1790263283 | Andre Scott | Behavior Technician | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2018-08-06 |
| 1487008587 | Honor With Class | Community/Behavioral Health | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2016-04-15 |
| 1457763104 | Jdb Chiropractic Enterprises LLC | Chiropractor | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2014-05-29 |
| 1083774020 | Chiropractic and Physical Therapy Centers of Ohio-forest Park | Chiropractor | 1108 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
| 1316559263 | Big H Home Health Care | Home Health | Northland Blvd, Cincinnati, OH 45240 | 2020-08-21 |
| 1437667912 | May Austin | Respite Care | 11444 Farmington Rd, Cincinnati, OH 45240 | 2018-01-18 |
| 1952815490 | Joyce Kerobo | Licensed Practical Nurse | 1014 Holderness Ln, Cincinnati, OH 45240 | 2017-11-20 |
| 1912429416 | Guselyn Beatrice Bobb | In Home Supportive Care | 12052 Deerhorn Drive, Cincinnati, OH 45240 | 2017-07-17 |
| 1164962239 | Amber Haynes | Counselor | 1570 Jonquilmeadow Dr, Cincinnati, OH 45240 | 2017-03-08 |
| 1215477039 | Ayele Ahouefa Lawson | Licensed Practical Nurse | 962 Glasgow Drive, Cincinnati, OH 45240 | 2017-02-27 |
| 1710365937 | Affordable Dentures - Forest Park, Mark A. Meclosky, Dds, Inc. | Dentist | 1173 Smiley Avenue, Cincinnati, OH 45240 | 2015-05-07 |
| 1720476658 | Medical Staffing Network | Nursing Care | 1388 Waycross Rd Apt B, Cincinnati, OH 45240 | 2014-12-30 |
| 1316351877 | Mirabel Owie Obi | Licensed Practical Nurse | 591 Ashburn Rd # A, Cincinnati, OH 45240 | 2014-06-12 |
| Find all providers in zip 45240 | ||||
| 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 |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1679170518 | Keana Eakins | Case Manager/Care Coordinator | 432 Ray Norrish Dr Ste B, Cincinnati, OH 45246-1520 | 2020-10-05 |
| 1992318596 | Janelle Selina Hocker | Case Manager/Care Coordinator | 3439 Knott St, Cincinnati, OH 45229-3109 | 2020-08-25 |
| 1215547450 | Erica Tivis | Case Manager/Care Coordinator | 2711 E Tower Dr Apt 108, Cincinnati, OH 45238-2655 | 2020-08-03 |
| 1629696687 | Albert Antonio Bailey Jr. | Case Manager/Care Coordinator | 432 Ray Norrish Dr # B, Cincinnati, OH 45246-1520 | 2020-07-07 |
| 1669005286 | Zachary Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-02-21 |
| 1962035717 | Ronda Sue Gadd | Case Manager/Care Coordinator | 4550 Red Bank Rd, Cincinnati, OH 45227-2118 | 2020-02-20 |
| 1659902195 | Keeshon Taylor | Case Manager/Care Coordinator | 3643 Fyffe Ave, Cincinnati, OH 45211-6114 | 2020-02-03 |
| 1194382192 | Lauren Michelle Breadon | Case Manager/Care Coordinator | 4966 Glenway Ave Ste 205, Cincinnati, OH 45238-3917 | 2019-05-24 |
| 1649736000 | Ian A Gentry | Case Manager/Care Coordinator | 3962 Glenmore Ave, Cincinnati, OH 45211-3534 | 2019-02-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45240 |
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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.