DEMARCUS ANTON RIDEOUT (NPI# 1104169648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104169648 |
| Entity Type | Individual |
| Full Name | DEMARCUS ANTON RIDEOUT |
| Practice Address |
1119 Highway 13 S Columbia MS 39429-8226 |
| Practice Telephone | 6014417434 |
| Mailing Telephone | 6014417434 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
1119 HIGHWAY 13 S |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429-8226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793940 | Care Access Healthcare, Inc. | Respite Care | 6925 Oakland Mills Rd Ste H, Columbia, MD 21045-4714 | 2019-10-29 |
| 1356884753 | Helen Moses | Respite Care | 1470 Highway 13 S, Columbia, MS 39429-9281 | 2016-12-02 |
| 1417310863 | Compassionate Heart Personal Care & Respite Services LLC | Respite Care | 425 Old Foxworth Rd, Columbia, MS 39429-8244 | 2016-04-02 |
| 1851639686 | Robinson's Healing-hearts Assisted Living LLC | Respite Care | 7340 Parklane Rd, Suite 204-f, Columbia, SC 29223-7644 | 2013-01-29 |
| 1942503990 | Global Health Linkages Inc | Respite Care | 10810 Hickory Ridge Rd, Columbia, MD 21044-3622 | 2010-12-14 |
| 1396076857 | Columbia Adult Care On Main | Respite Care | 2101 Main St Ste H, Columbia, SC 29201-2159 | 2010-01-23 |
| 1134343627 | Humanim Inc | Respite Care | 6355 Woodside Court, Columbia, MD 21046-1071 | 2007-04-13 |
| 1285760124 | Curators of The University of Missouri | Respite Care | 2400 Bluff Creek Dr, Columbia, MO 65201-3554 | 2007-02-26 |
| 1083759203 | Curators of The University of Missouri | Respite Care | 137 Clark Hall, Columbia, MO 65211-4200 | 2007-02-21 |
| 1891853339 | Clara Leach Darden | Respite Care | 2122 Circle Dr, Columbia, TN 38401-4430 | 2006-12-05 |
| Find all providers in COLUMBIA | ||||
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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.