LATERRCKA FARRIS (NPI# 1144766718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144766718 |
| Entity Type | Individual |
| Full Name | LATERRCKA FARRIS |
| Practice Address |
652 W Olive St Decatur IL 62526-4055 |
| Practice Telephone | 2173586541 |
| Mailing Telephone | 2173586541 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | IL | Nursing Service Related Providers | |
| N | 376K00000X | Nurse's Aide | IL | Nursing Service Related Providers |
| Street Address |
652 W OLIVE ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1750998506 | Shynalee Natividad Ayala | Home Health Aide | 410 Wesley Club Dr, Decatur, GA 30034-2328 | 2020-09-25 |
| 1336756303 | Dianne Jones | Home Health Aide | 1525 E Moore St, Decatur, IL 62521-2942 | 2020-09-24 |
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1477061257 | Kelley Shynelle Thomas | Home Health Aide | 1730 Old Hickory St, Decatur, GA 30032-4356 | 2018-01-16 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1821346859 | Lisa Perry | Home Health Aide | 2145 Candler Rd, Suite 1331, Decatur, GA 30032-5574 | 2012-08-23 |
| 1386865467 | Renewed Women | Home Health Aide | 1220 Renee Dr, Decatur, GA 30035-1056 | 2007-05-02 |
| 1659403822 | Wekare Placement Services | Home Health Aide | 4441 Covington Hwy, Decatur, GA 30035-1214 | 2007-03-12 |
| 1598792996 | Ace Persoanal Care Home | Home Health Aide | 2713 Neptune Pl, Decatur, GA 30034-1816 | 2006-06-28 |
| 1710318910 | Laketa Roberts | Home Health Aide | 3307 White Castle Dr, Decatur, GA 30034-5444 | 2013-12-12 |
| Find all providers in DECATUR | ||||
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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.