SHANTA HARRELL (NPI# 1124483532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124483532 |
Entity Type | Individual |
Full Name | SHANTA HARRELL |
Practice Address |
106 Holloman Avenue Ahoskie NC 27910 |
Mailing Address |
1219 North Catherine Street 106 Holloman Avenue Ahoskie NC 27910 |
Practice Telephone | 2526423606 |
Practice Fax Number | 2525138230 |
Mailing Telephone | 2526423606 |
Mailing Fax Number | 2525138230 |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | FCL-046-025 | NC | Nursing Service Related Providers |
Street Address |
106 HOLLOMAN AVENUE |
City | AHOSKIE |
State | NC |
Zip Code | 27910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
1265925697 | Livingwordoutreachministries.com | Health Educator | 208 Carolina Ave S, Ahoskie, NC 27910 | 2018-06-11 |
1932623956 | Vernon David Collins | Pharmacist | 925 East Memorial Drive, Ahoskie, NC 27910 | 2017-08-01 |
1417484890 | Apoorva Vivek Saoji | Internal Medicine | 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 | 2017-05-17 |
1144607623 | All-american Home Care, LLC | In Home Supportive Care | 900 E. Memorial Dr, Ahoskie, NC 27910 | 2015-05-04 |
1649660481 | Lindsay Yount Lyall | Physician Assistant | 500 South Academy Street, Ahoskie, NC 27910 | 2015-02-02 |
1932506771 | Kathy Massengale | Nurse Practitioner | 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 | 2014-11-21 |
1750700795 | Jessica Brown Spruill | Dietitian, Registered | 718 Evans Street, Ahoskie, NC 27910 | 2014-04-07 |
1437405578 | Lakeisha Yvette Walker | Counselor | 114b West St S, Ahoskie, NC 27910 | 2012-07-26 |
1356538797 | Unique Home Care Agency | Home Health | 106 S. Railroad Street, Ahoskie, NC 27910 | 2007-10-01 |
Find all providers in zip 27910 |
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 |
---|---|---|---|---|
1124634399 | Amber House Staffing, LLC | Adult Companion | 611 Summit Ave Ste 4, Greensboro, NC 27405-7746 | 2020-09-22 |
1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
1831731488 | Emma Rose Van Gilder | Adult Companion | 223 Payne Branch Rd, Blowing Rock, NC 28605-9021 | 2019-10-15 |
1902363286 | Tbh Home Healthcare | Adult Companion | 4 Briar Cir Apt D, Fayetteville, NC 28306-4940 | 2019-02-22 |
1407326010 | Home Rule LLC | Adult Companion | 25 1st Ave Ne Ste 103, Hickory, NC 28601-6220 | 2018-11-27 |
1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
1013490382 | Brianna Terial Amaechi | Adult Companion | 5301 Jade Forest Trl, Raleigh, NC 27616-5148 | 2018-09-12 |
1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
1326550377 | Darlene Denise Seabrooks | Adult Companion | 3807 Woodbriar Trl, Charlotte, NC 28205-4967 | 2017-10-31 |
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.