SHANTA R WHITE (NPI# 1366040511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040511 |
| Entity Type | Individual |
| Full Name | SHANTA R WHITE |
| Practice Address |
6850 Manhattan Blvd # 704 Fort Worth TX 76120-1227 |
| Practice Telephone | 6826150410 |
| Mailing Telephone | 6826150410 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
43125839 | TX | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679124895 | Shanta Shacole White | Homemaker | 7308 S Constance Ave, Chicago, IL 60649-3120 | 2019-09-28 |
| Street Address |
6850 MANHATTAN BLVD # 704 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76120-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121321 | Angels Helping Angels Home Care | In Home Supportive Care | 6850 Manhattan Blvd # 704, Fort Worth, TX 76120-1227 | 2020-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328673 | Kushum Pokharel | Nurse Practitioner | 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120 | 2018-03-01 |
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
| 1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
| 1629475637 | Marklin Holdings Pllc | Dentist | 1476 Eastchase Pkwy, Fort Worth, TX 76120 | 2014-11-20 |
| 1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
| 1487677357 | Fine Spine LLC | Family Medicine | 709 East Loop 820, Fort Worth, TX 76120 | 2006-07-25 |
| 1720045784 | Josie Elizabeth Estes | Psychiatry & Neurology | 7525 John T White, Fort Worth, TX 76120 | 2006-04-26 |
| 1841271772 | Theresa Kellam | Psychologist | 2201 Dottie Lynn Parkway, Suite 127, Fort Worth, TX 76120 | 2005-11-08 |
| 1891208088 | Professional Ehc Eastchase LLC | Emergency Medicine | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-11-09 |
| Find all providers in zip 76120 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796897 | Loving Aides Who Care Services, LLC | Technician | 5209 E Berry St, Fort Worth, TX 76119-7719 | 2020-09-23 |
| 1962034041 | Christine Lohrke | Technician | 300 Trinity Campus Cir # Trwf3200, Fort Worth, TX 76102-1964 | 2020-02-06 |
| 1942853221 | Ashantay Moore | Technician | 7468 Tallow Wind Trl Apt F, Fort Worth, TX 76133-7321 | 2019-07-16 |
| 1134785553 | Tracy Sellers | Technician | 4407 Bellaire Dr S Apt 216, Fort Worth, TX 76109-5104 | 2019-05-10 |
| 1710447644 | Mychoice Home Care LLC | Technician | 5120 Leeray Rd, Fort Worth, TX 76244-9233 | 2019-03-25 |
| 1700354032 | Ricardo Emmanuel Limon Jr. | Technician | 6133 River Cross Dr, Fort Worth, TX 76114-3159 | 2018-11-05 |
| 1265914543 | Cathrine C Dean | Technician | 2562 Beverly Ave, Fort Worth, TX 76104-6629 | 2018-09-03 |
| 1851883979 | Melissa Abigail Zamora | Technician | 2625 Lee Ave, Fort Worth, TX 76164-7041 | 2018-06-04 |
| 1518458934 | Sammantha Steward | Technician | 1746 Water St, Fort Worth, TX 76102-5761 | 2018-05-21 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76120 |
Please comment or provide details below to improve the information on SHANTA R WHITE.
| 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.