MS. PHILECIA RENEE FULLER (NPI# 1285139477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285139477 |
| Entity Type | Individual |
| Full Name | MS. PHILECIA RENEE FULLER |
| Credential | HOME CARE PROVIDER |
| Practice Address |
1800 Lakewood Dr Apt H4 Phenix City AL 36867-1838 |
| Practice Telephone | 3344088115 |
| Mailing Telephone | 3344088115 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1800 LAKEWOOD DR APT H4 |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350241 | Keshiakares LLC | In Home Supportive Care | 1302 6th Pl S Apt B2, Phenix City, AL 36869-7855 | 2019-11-12 |
| 1720378672 | Senior Care of Alabama, L.L.C. | In Home Supportive Care | 1604 Broad St Ste C, Phenix City, AL 36867-5129 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032940 | With Grace Home Health LLC | In Home Supportive Care | 160 Stone Park Blvd Apt 1210, Pike Road, AL 36064-2982 | 2020-10-30 |
| 1588263271 | Gwendolyn Lee | In Home Supportive Care | 3560 Stoney Brook Dr, Fultondale, AL 35068-2254 | 2020-10-22 |
| 1598363160 | Mobile In Home Care | In Home Supportive Care | 3929 Airport Blvd # 1, Mobile, AL 36609-1987 | 2020-10-15 |
| 1003425992 | Elite All-care Services LLC | In Home Supportive Care | 2311 Market Pl Sw Ste B, Huntsville, AL 35801-5260 | 2020-07-27 |
| 1255955589 | Alabama's Best In-home Care | In Home Supportive Care | 1038 Dunsmore Dr, Chelsea, AL 35043-7234 | 2020-06-02 |
| 1447871611 | Homecare Companions, LLC | In Home Supportive Care | 22394 Miflin Rd Ste 201, Foley, AL 36535-9593 | 2020-04-29 |
| 1093357774 | Three Sons Home Care LLC | In Home Supportive Care | 324 Commons Dr Ste 6, Birmingham, AL 35209-6962 | 2019-10-14 |
| 1407406390 | Anchored8 Home Care LLC | In Home Supportive Care | 545 W Main St Ste 100, Dothan, AL 36301-1626 | 2019-09-12 |
| 1831747443 | As Close As Family of Northwest Alabama | In Home Supportive Care | 944 Ronnie Mcdowell Ave Ste A, Russellville, AL 35654-6513 | 2019-08-27 |
| 1447807557 | Direct Home Care | In Home Supportive Care | 1114 Us Highway 31 S, Athens, AL 35611-4471 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
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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.