MISS AUTUMN LEREE SULLIVAN (NPI# 1184289605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184289605 |
| Entity Type | Individual |
| Full Name | MISS AUTUMN LEREE SULLIVAN |
| Practice Address |
1672 Dominion Dr Akron OH 44313 |
| Mailing Address |
1672 Dominion Dr Akron OH 44313-5516 |
| Practice Telephone | 3302454281 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0332254 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 860 Mercer Ave, Akron, OH 443202810 | 3308367122 | |
| 1672 Dominion Dr, Akron, OH 443135516 | 3302454281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790187854 | Autumn Sullivan | Case Manager/Care Coordinator | 1832 Knapps Aly, #213, West Linn, OR 97068-4667 | 2014-09-19 |
| Street Address |
1672 DOMINION DR |
| City | AKRON |
| State | OH |
| Zip Code | 44313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305874 | Kerano Tucker | Home Health Aide | 1638 Tanglewood Dr, Akron, OH 44313 | 2020-10-29 |
| 1780141929 | Travis Dean Olinger | Student in an Organized Health Care Education/Training Program | 985 A Snowfall Spur, Akron, OH 44313 | 2019-02-25 |
| 1225542368 | Caring Angels Healthcare Agency LLC | In Home Supportive Care | 1650 W. Market St., Suite 14, Akron, OH 44313 | 2017-11-28 |
| 1831619394 | Danielle Livingston | Home Health Aide | 1670 Dominion Dr, Akron, OH 44313 | 2017-06-26 |
| 1689106569 | Laura E Delsignore | Counselor | 1653 Merriman Rd Ste 114, Akron, OH 44313 | 2017-03-30 |
| 1770030231 | Amelia Mcnutt | Student in an Organized Health Care Education/Training Program | 1457 Rowles Drive, Akron, OH 44313 | 2016-09-01 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1578927158 | Kathy Chamberlain | Social Worker | 900 Mull Avenue, Akron, OH 44313 | 2016-04-08 |
| 1861832651 | Noelle K. Akins | Counselor | 1655 W. Market St., Suite 440, Akron, OH 44313 | 2013-06-26 |
| 1649545161 | Kathryn Pahls Conlin | Internal Medicine | 593 Mull Ave, Akron, OH 44313 | 2012-03-16 |
| Find all providers in zip 44313 | ||||
| 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 |
|---|---|---|---|---|
| 1235730920 | Dashawn Mcdowell | Home Health Aide | 128 Hawk Ave, Akron, OH 44312-1437 | 2020-11-08 |
| 1972104065 | Lois J Rafferty | Home Health Aide | 1929 Killian Rd, Akron, OH 44312-4827 | 2020-11-04 |
| 1962003129 | Angela Porreca | Home Health Aide | 639 Hampton Ridge Dr, Akron, OH 44313-5078 | 2020-11-04 |
| 1508466160 | Loretta Boykin | Home Health Aide | 2991 Midway Ct, Akron, OH 44319-3802 | 2020-10-31 |
| 1992305874 | Kerano Tucker | Home Health Aide | 1638 Tanglewood Dr, Akron, OH 44313 | 2020-10-29 |
| 1770183642 | Pam Kay Varner | Home Health Aide | 453 High Grove Blvd, Akron, OH 44312-2666 | 2020-10-29 |
| 1124628342 | Denise Justers | Home Health Aide | 1246 Kenmore Blvd, Akron, OH 44314-1964 | 2020-10-27 |
| 1134726516 | April Beecher | Home Health Aide | 719 Edgewood Ave, Akron, OH 44307-2021 | 2020-10-08 |
| 1346847894 | Candace Denise Gibson | Home Health Aide | 949 Mckinley Ave, Akron, OH 44306-1767 | 2020-10-07 |
| 1063019065 | Erica D Wright | Home Health Aide | 573 Wellington Ave, Akron, OH 44305-2677 | 2020-10-03 |
| Find all providers in AKRON | ||||
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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.