CAROLE JEAN (NPI# 1104314707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104314707 |
| Entity Type | Individual |
| Full Name | CAROLE JEAN |
| Practice Address |
104 Lincoln Ave Saugus MA 01906-2833 |
| Mailing Address |
104 Lincoln Ave # 1 Saugus MA 01906-2833 |
| Practice Telephone | 7812182283 |
| Practice Fax Number | 8558621734 |
| Mailing Telephone | 7812182283 |
| Mailing Fax Number | 8558621734 |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2018-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447952 | Carole Jean | Licensed Practical Nurse | 1530 Pennsylvania Ave Apt 5c, Brooklyn, NY 11239-2607 | 2020-05-04 |
| Street Address |
104 LINCOLN AVE |
| City | SAUGUS |
| State | MA |
| Zip Code | 01906-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131813 | Safety Home Health Care Agency | Home Health | 89 Fairmount Ave, Saugus, MA 01906 | 2016-09-07 |
| 1114383585 | Psychiatric Mental Health Services | Counselor | 1288 Broadway, Saugus, MA 01906 | 2016-01-14 |
| 1548630817 | Marie Decarney | Counselor | 7 Juliette Rd, Saugus, MA 01906 | 2015-09-30 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1760753107 | Melissa Jean Tilton | Occupational Therapy Assistant | 28 Elaine Ave, Saugus, MA 01906 | 2012-01-17 |
| 1235320698 | Dr. Domenic A. D'angelo and Associates | Optometrist | 171 Broadway Rte 1 S, Saugus, MA 01906 | 2007-08-09 |
| 1851422901 | Stephen G. Petinge | Dentist | 15 Essex Street, Saugus, MA 01906 | 2007-03-08 |
| 1053466235 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 159 Square One Mall, Saugus, MA 01906 | 2007-01-25 |
| 1518060771 | For Eyes Optical, Inc. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 600 Broadway Ste C, Saugus, MA 01906 | 2006-09-06 |
| 1528078284 | North Suburban Dialysis Center Partnership | Clinic/Center | 124 Broadway Route 1 North, Augustine's Plaza, Saugus, MA 01906 | 2006-08-08 |
| Find all providers in zip 01906 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743618 | Jude Igbineweka | Adult Companion | 58 Hunt St, Brockton, MA 02302-2707 | 2020-09-03 |
| 1891320321 | Erik Baghdasaryan | Adult Companion | 15 School Ln, Watertown, MA 02472-1532 | 2020-03-05 |
| 1558882050 | Brenda Morris | Adult Companion | 378 Ward St, Newton, MA 02459-1217 | 2017-07-05 |
| 1093182206 | Community Link | Adult Companion | 3 Thomas Street, Dracut, MA 01826 | 2015-08-24 |
| 1386047876 | Louna M Smith | Adult Companion | 354 Oak St, Brockton, MA 02301-1341 | 2014-09-29 |
| 1669712188 | Roland Addo Nubuor | Adult Companion | 60 Francis St, Worcester, MA 01606-3120 | 2013-02-20 |
| 1467711762 | Camara O'neal-brown | Adult Companion | 110 Clearwater Rd, Newton, MA 02462-1106 | 2012-05-08 |
| 1043488091 | Janepher S Kintu | Adult Companion | 1225 Hilltop Dr, Walpole, MA 02081-4416 | 2008-02-12 |
| 1306054853 | Dominique Badio | Adult Companion | 30 Grove St, Randolph, MA 02368-2949 | 2007-05-18 |
| 1053448464 | Harborside Adult Day Health Center | Adult Companion | 141 Bridge Rd # 4, Salisbury, MA 01952-2422 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
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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.