WANDA SANTANA (NPI# 1427592294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427592294 |
| Entity Type | Individual |
| Full Name | WANDA SANTANA |
| Practice Address |
56 Hayes St Bridgeport CT 06608-1515 |
| Practice Telephone | 2032430341 |
| Mailing Telephone | 2032430341 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578362 | Wanda I Santana | Pharmacist | 941 St. Rd. Salida, Bo. Jaguas, Gurabo, PR 00778 | 2020-01-29 |
| Street Address |
56 HAYES ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| Find all providers in zip 06608 | ||||
| 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 |
|---|---|---|---|---|
| 1396356531 | Alice Marie Stewart | Technician | 372 Forest Dr, Bridgeport, WV 26330-9532 | 2020-08-12 |
| 1811508070 | Madalyn Rose Aloi | Technician | 573 Woodside Ln, Bridgeport, WV 26330-7672 | 2020-08-12 |
| 1396356408 | Brenda Fay Pierce | Technician | 236 Blackwell St, Bridgeport, WV 26330-1719 | 2020-08-12 |
| 1306457544 | Cathy Joan Phillips | Technician | 906 Worthington Dr, Bridgeport, WV 26330-1193 | 2020-08-12 |
| 1740891159 | Janet Cumberledge | Technician | 4960 Green Valley Rd, Bridgeport, WV 26330-7903 | 2020-08-11 |
| 1881707503 | Sisan J Shumaker | Technician | 543855 National Rd, Stone House Place Apt 7, Bridgeport, OH 43912-1566 | 2006-08-16 |
| 1396756599 | Donna Sue Blaney | Technician | 68205 Commercial Dr, Apt. H2, Bridgeport, OH 43912-1566 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699497 | Lois Marini | Technician | 82 Lee St, West Haven, CT 06516-1607 | 2019-09-20 |
| 1952952004 | Carol Ann Stagis | Technician | 43 Overlook Ave, Bristol, CT 06010-7931 | 2019-09-20 |
| 1174071062 | Jasmine Pacheco | Technician | 90 Ledge Rd, New London, CT 06320-2514 | 2016-09-20 |
| 1184993818 | Ashantia Holiza Gordon | Technician | 490 Tolland St, East Hartford, CT 06108-2502 | 2011-12-27 |
| 1548756992 | Tutela Services LLC | Technician | 2537 Post Rd, Southport, CT 06890-1242 | 2018-07-09 |
| City | BRIDGEPORT |
| Zip Code | 06608 |
Please comment or provide details below to improve the information on WANDA SANTANA.
| 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.