SHANALEE HENRY GORDON (NPI# 1316577984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316577984 |
Entity Type | Individual |
Full Name | SHANALEE HENRY GORDON |
Practice Address |
205 South Ave Ste 108 Poughkeepsie NY 12601-4823 |
Practice Telephone | 8455188164 |
Mailing Telephone | 8455188164 |
Enumeration Date | 2020-01-22 |
Last Update Date | 2020-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers |
Street Address |
205 SOUTH AVE STE 108 |
City | POUGHKEEPSIE |
State | NY |
Zip Code | 12601-4823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942830724 | Precious Keepers | PACE Provider Organization | 205 South Ave Ste 108, Poughkeepsie, NY 12601-4823 | 2020-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
Find all providers in zip 12601 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720613920 | Kovette Thorpe | Adult Companion | 22 Montgomery St Apt 10d, Poughkeepsie, NY 12601-4021 | 2020-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1093313991 | Skynet Home Care Agency Inc | Adult Companion | 775 Concourse Vlg E Apt 4d, Bronx, NY 10451-3939 | 2020-10-13 |
1831796531 | Alisha Christine Wright | Adult Companion | 142 Saint Louis Ave, Syracuse, NY 13207-2247 | 2020-10-06 |
1518575125 | Jofef Companion Care Inc | Adult Companion | 10522 Jamaica Ave, Richmond Hill, NY 11418-2013 | 2020-07-20 |
1336762517 | Ellmak Inc | Adult Companion | 1889 Randall Ave, Bronx, NY 10473-2933 | 2020-05-22 |
1528680147 | Angel Rose Care Services, Inc. | Adult Companion | 129 Moore Ave, Freeport, NY 11520-1418 | 2020-05-18 |
1659902252 | Rose Kadosh | Adult Companion | 8210 19th Ave Apt B3, Brooklyn, NY 11214-2329 | 2020-02-01 |
1215567482 | Jason Debenedictis | Adult Companion | 23 Singingwood Dr, Holbrook, NY 11741-2818 | 2020-01-16 |
1760029276 | Nuevo Siglo Adult Day Care Center | Adult Companion | 213 Sherman Ave, New York, NY 10034-3314 | 2019-12-03 |
1619510120 | Kecia Mcfadden | Adult Companion | 101 W 147th St Apt 16a, New York, NY 10039-4339 | 2019-10-28 |
Find all providers with the same taxonomy |
City | POUGHKEEPSIE |
Zip Code | 12601 |
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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.