SUEWAKO F KELLY (NPI# 1215496567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215496567 |
| Entity Type | Individual |
| Full Name | SUEWAKO F KELLY |
| Practice Address |
6155 Sienna Trl Apt 708 Beaumont TX 77708-4358 |
| Practice Telephone | 4093517598 |
| Mailing Telephone | 4097676446 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| 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 |
6155 SIENNA TRL APT 708 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77708-4358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1083804520 | Roland Melvin Williams | Dentist | 7640 Eastex Frwy, Beaumont, TX 77708 | 2007-07-31 |
| 1609980523 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708 | 2006-08-18 |
| 1598879413 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5965 Navajo Trail, Beaumont, TX 77708 | 2006-08-18 |
| 1962441980 | Mobility Scooters | Durable Medical Equipment & Medical Supplies | 10955 A Eastex Freeway, Beaumont, TX 77708 | 2006-06-05 |
| 1932347606 | National Seating & Mobility, Inc | Home Health | 10945 Eastex Fwy, Beaumont, TX 77708-0902 | 2009-02-03 |
| 1003824814 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11125 Eastex Fwy, Beaumont, TX 77708-0906 | 2006-08-04 |
| 1548279888 | Pulse Homecare, Ltd. | Home Health | 10485 Eastex Fwy Ste C, Beaumont, TX 77708-1052 | 2006-08-05 |
| 1356966980 | Carol Devera Guillory | Occupational Therapist | 4535 Holst St, Beaumont, TX 77708-1531 | 2020-06-09 |
| Find all providers in zip 77708 | ||||
| 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 |
|---|---|---|---|---|
| 1447807680 | Haley Martin | Home Health Aide | 235 E Alma St, Beaumont, TX 77705-2507 | 2019-08-22 |
| 1548815699 | Kristina Allen | Home Health Aide | 5615 Downs Rd, Beaumont, TX 77705-6909 | 2019-08-06 |
| 1487214987 | Edalynn Roper | Home Health Aide | 4885 Detroit St, Beaumont, TX 77703-1416 | 2019-06-17 |
| 1891263026 | Tanisha Nixon | Home Health Aide | 3710 Magnolia St Apt 3203, Beaumont, TX 77703-3059 | 2018-11-06 |
| 1417438086 | Orlen Nabors | Home Health Aide | 3295 French Rd, Beaumont, TX 77703-2603 | 2018-08-22 |
| 1922500123 | Iyanna Nicole Diggs | Home Health Aide | 8965 Laura Ln, Beaumont, TX 77707-2845 | 2018-03-02 |
| 1376889949 | Sharesa Shont'e Tatum | Home Health Aide | 3940 El Paso St, Beaumont, TX 77703-2750 | 2012-12-29 |
| 1811548761 | Darlene Wimbley | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-09-23 |
| 1851947733 | Mary Heaton | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-08-15 |
| 1740848753 | Megan Richard | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-06-04 |
| Find all providers in BEAUMONT | ||||
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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.