JUSTIN FRANCIS HENDERSON (NPI# 1356951636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356951636 |
| Entity Type | Individual |
| Full Name | JUSTIN FRANCIS HENDERSON |
| Practice Address |
25 W Main St Conway NH 03818-6142 |
| Practice Telephone | 6034472111 |
| Practice Fax Number | 6034471021 |
| Mailing Telephone | 6034472111 |
| Mailing Fax Number | 6034471021 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
| 1871944082 | Justin William Henderson | Pharmacist | 2509 Meade Ct, Ann Arbor, MI 48105-1304 | 2016-06-29 |
| 1972809028 | Justin D Henderson | Counselor | 340 N Sam Houston Pkwy E # A165s, Houston, TX 77060 | 2011-02-08 |
| 1508199365 | Justin Eric Henderson | Nurse Practitioner | 619 Kapahulu Ave, Ph, Honolulu, HI 96815-3853 | 2009-09-11 |
| 1194213421 | Justin Luvalle Henderson | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-04-23 |
| 1649773037 | Justin Lance Brandon Henderson | Counselor | 1450 Main St., Weaverville, CA 96093-1640 | 2018-03-13 |
| 1578709077 | Justin Daniel Henderson | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2009-01-05 |
| 1588869861 | Justin L Henderson | Internal Medicine | 1 Medical Center Dr, Middletown, OH 45005 | 2007-06-18 |
| Street Address |
25 W MAIN ST |
| City | CONWAY |
| State | NH |
| Zip Code | 03818-6142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220073 | Heather Cunningham | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2020-09-16 |
| 1568076214 | Karen Kilegle Buchanana | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2020-09-01 |
| 1871105296 | Michael Deyak | Case Manager/Care Coordinator | 25 W Main St, Conway, NH 03818-6142 | 2020-08-18 |
| 1134730765 | Maria Camila Gaviria | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2020-08-17 |
| 1376154054 | Courtney Brooke Dunham | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2020-08-14 |
| 1003424599 | Patrick Dowling | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2020-07-21 |
| 1770113797 | Lara Rice | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2020-01-17 |
| 1033756606 | Emma Flaherty | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2019-12-03 |
| 1437705464 | Lily Morgan | Counselor | 25 W Main St, Conway, NH 03818-6142 | 2019-08-15 |
| 1437701323 | Kristin Wiley | Case Manager/Care Coordinator | 25 W Main St, Conway, NH 03818-6142 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764020 | Erin Lee Carroll | Physical Medicine & Rehabilitation | Mountain Center Physical Therapy, 37 Main Street, Conway, NH 03818 | 2019-11-14 |
| 1053893909 | Kim Marie Matte | Social Worker | 19 Holly Ridge Lane, Conway, NH 03818 | 2018-09-06 |
| 1861986556 | Cynthia Mcgee | Nurse Practitioner | White Mountain Community Health Center, 298 White Mountain Highway, Conway, NH 03818 | 2018-06-18 |
| 1023562634 | The Lawton West Group LLC | Durable Medical Equipment & Medical Supplies | 34 Crescent Dr., Conway, NH 03818 | 2016-08-11 |
| 1528480902 | Conway Village Dental | Dentist | 21a Poliquin Drive, Conway, NH 03818 | 2014-01-20 |
| 1730528787 | Mother Knows Best Maternity and Recuperative Wellness LLC | Durable Medical Equipment & Medical Supplies | 367 Modock Hill Rd, Conway, NH 03818 | 2013-06-21 |
| 1801175252 | Stevi Gelinas | Massage Therapist | 24 Pleasant St., Conway, NH 03818 | 2011-08-16 |
| 1558518969 | Lifestar Emergency Medical Services LLC | Ambulance | 29 Rt 113 Suite B, Albany, NH 03818 | 2008-08-27 |
| 1477614030 | Cheryl Bildner | Psychologist | 81 Washington Street, Box 2726, Conway, NH 03818 | 2006-12-13 |
| 1154499739 | Eric O Hirschfeld | Dentist | 51a Washington St, Conway, NH 03818 | 2006-12-01 |
| Find all providers in zip 03818 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1538609417 | Eric Dillinger | Case Manager/Care Coordinator | 61 Winding Branch Ln, Conway, AR 72032-8701 | 2017-02-27 |
| 1023487097 | Comeatrieze Vantelia Ester | Case Manager/Care Coordinator | 816 N. Creek Dr., Conway, AR 72032 | 2015-09-21 |
| 1275938615 | Ian Evans | Case Manager/Care Coordinator | 818 N. Creek Dr., Conway, AR 72032 | 2014-10-28 |
| 1982007977 | Tina Boone | Case Manager/Care Coordinator | 816 N. Creek Dr, Conway, AR 72032 | 2014-10-03 |
| 1154738110 | Brittney Morgan Wood | Case Manager/Care Coordinator | 2175 B Rosemary Drive, Conway, AR 72034 | 2014-07-22 |
| 1063779437 | Sara Coleta Garland | Case Manager/Care Coordinator | 1100 Bob Courtway Dr # Dre, Suite 9, Conway, AR 72032-4766 | 2012-04-23 |
| 1427363209 | Careteam Plus, Inc. | Case Manager/Care Coordinator | 100 Professional Park Drive, Conway, SC 29526-9260 | 2010-08-17 |
| Find all providers in CONWAY | ||||
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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.