ALEXA GRACE REBOLLEDO (NPI# 1124524053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124524053 |
| Entity Type | Individual |
| Full Name | ALEXA GRACE REBOLLEDO |
| Credential | CNA |
| Practice Address |
5828 W Henderson St Chicago IL 60634-4301 |
| Practice Telephone | 3129187846 |
| Mailing Telephone | 3129187846 |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
5828 W HENDERSON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151829 | Chantel Bentley | Home Health Aide | 9033 S Loomis St Apt 1a, Chicago, IL 60620-3578 | 2020-07-21 |
| 1750914511 | Clarence Beals | Home Health Aide | 5943 S Aberdeen St, Chicago, IL 60621-1429 | 2020-02-19 |
| 1659928224 | Carmen Billips | Home Health Aide | 1454 N Linder Ave, Chicago, IL 60651-1232 | 2019-08-19 |
| 1245797661 | Shanna M Avery | Home Health Aide | 8004 S Green St, Chicago, IL 60620-2545 | 2019-02-21 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1851875637 | Eghe Obaseki | Home Health Aide | 2640 W Touhy Ave Ste 206, Chicago, IL 60645-3147 | 2018-09-18 |
| 1720585599 | Dominique Lanesha Flowers | Home Health Aide | 7816 S Bishop St, Chicago, IL 60620-4165 | 2018-04-09 |
| 1154847093 | Gretchen O Tura | Home Health Aide | 4938 N Drake Ave, Chicago, IL 60625-5616 | 2017-08-22 |
| 1407302110 | Jasmine Swanigan | Home Health Aide | 2753 W North Ave, Floor 3, Chicago, IL 60647 | 2016-09-01 |
| 1346605748 | Neba Ambe | Home Health Aide | 2844 W Sherwin Ave, Chicago, IL 60645-1238 | 2015-12-29 |
| Find all providers in CHICAGO | ||||
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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.