SHAVONNA GREEN (NPI# 1336785039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336785039 |
| Entity Type | Individual |
| Full Name | SHAVONNA GREEN |
| Practice Address |
2889 Rosedale Dr Orangeburg SC 29115-8428 |
| Practice Telephone | 8045706736 |
| Mailing Telephone | 8045706736 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2889 ROSEDALE DR |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649834045 | Grove Park Pharmacy Home Care, LLC | Home Health | 1353 Grove Park Dr, Orangeburg, SC 29115-2455 | 2019-05-01 |
| 1184074346 | Loving Care for Life Home Care | Home Health | 427 Gramercy Ln, Orangeburg, SC 29115-9189 | 2016-06-20 |
| 1669876686 | Dean's Personal Care | Home Health | 2717 Magnolia St, Orangeburg, SC 29115-2502 | 2014-10-20 |
| 1053626432 | Mackford Health Care Agency Inc | Home Health | 3318 Dibble St, Orangeburg, SC 29118-0000 | 2010-08-10 |
| 1194059295 | Carolina Speech and Language Associates, LLC | Home Health | 3298 Hunter Drive, Orangeburg, SC 29118-2017 | 2009-09-23 |
| 1033374004 | Five Star Healthcare Services | Home Health | 161 Centre St # 1, Orangeburg, SC 29115-6043 | 2008-07-18 |
| 1457549636 | Gcg Staffing, Inc. | Home Health | 960 Berry St, Orangeburg, SC 29115-4317 | 2007-10-12 |
| 1588863641 | Regional Outpatient Health Services | Home Health | 1393a Shillings Bridge Road, Orangeburg, SC 29115-8749 | 2007-07-17 |
| 1841414562 | Arline Bethea | Home Health | 1006 Pasture Ln, Orangeburg, SC 29118-9307 | 2007-04-12 |
| 1144364878 | Orangeburg Personal Care Service LLC | Home Health | 128 Beef Jerky Dr, Orangeburg, SC 29116 | 2007-02-16 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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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.