SHANALEE HENRY GORDON


Address: 205 South Ave Ste 108, Poughkeepsie, NY 12601-4823
Phone: 8455188164

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion Nursing Service Related Providers

Office Location

Street Address 205 SOUTH AVE STE 108
City POUGHKEEPSIE
State NY
Zip Code 12601-4823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942830724 Precious Keepers PACE Provider Organization 205 South Ave Ste 108, Poughkeepsie, NY 12601-4823 2020-01-22

Providers in the same zip code

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 Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720613920 Kovette Thorpe Adult Companion 22 Montgomery St Apt 10d, Poughkeepsie, NY 12601-4021 2020-03-08

Providers in the same taxonomy and state

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

Competitor

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City POUGHKEEPSIE
Zip Code 12601

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Dataset Information

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.

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