MRS. NE'COLE LYNN BROADUS (NPI# 1396002457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396002457 |
| Entity Type | Individual |
| Full Name | MRS. NE'COLE LYNN BROADUS |
| Practice Address |
5073 Pershing Avenue Cleveland OH 44127 |
| Mailing Address |
10545 Remington Avenue Cleveland OH 44108-1320 |
| Practice Telephone | 2164216063 |
| Mailing Telephone | 2164216063 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 401312991011 | OH | Nursing Service Related Providers |
| Street Address |
5073 PERSHING AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
| 1932602018 | Daisetta Harris | Counselor | 3100 East 45 Place, 212, Cleveland, OH 44127 | 2018-03-14 |
| 1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
| 1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
| 1578004065 | Lorene Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 438, Cleveland, OH 44127 | 2017-03-16 |
| 1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
| 1568881803 | Broadway Academy, Inc. | Local Education Agency (LEA) | 3398 East 55th Street, Cleveland, OH 44127 | 2014-04-15 |
| 1154665966 | Rose Ann Broadus | Home Health Aide | 3926 Mcbride Avenue, Cleveland, OH 44127 | 2012-11-16 |
| 1790059764 | Sheniece Fountaine | Home Health | 7028 Ivy Ave, Cleveland, OH 44127 | 2012-03-08 |
| 1598062671 | Akia F Lampkin | Social Worker | 3100 E 45th St Ste 212, Cleveland, OH 44127 | 2011-02-25 |
| Find all providers in zip 44127 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1871192690 | Tiffanie Baker | Home Health Aide | 714 E 93rd St, Cleveland, OH 44108-1243 | 2020-10-22 |
| 1225637044 | Demaetree Emma Pratt | Home Health Aide | 10719 Hampden Ave, Cleveland, OH 44108-3632 | 2020-10-22 |
| 1518566207 | Tanisha Saffo-holly | Home Health Aide | 13210 Lorenzo Ave, Cleveland, OH 44120-3216 | 2020-10-22 |
| 1093314981 | Raelene Zdanowicz | Home Health Aide | 3355 W 129th St, Cleveland, OH 44111-2504 | 2020-10-21 |
| 1376142356 | Tyronda Spencer | Home Health Aide | 1012 Prospect Ave E Apt 824, Cleveland, OH 44115-1236 | 2020-10-21 |
| 1104424613 | Tina Jo Ullman | Home Health Aide | 2821 Portman Ave, Cleveland, OH 44109-4946 | 2020-10-16 |
| 1558969345 | Latoya Smith | Home Health Aide | 738 Northfield Rd, Cleveland, OH 44146-3862 | 2020-10-13 |
| 1154928125 | Nadra Denise Oldwine | Home Health Aide | 590 E 109th St, Cleveland, OH 44108-1458 | 2020-10-02 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MRS. NE'COLE LYNN BROADUS.
| 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.