JENNY SHAE HODGE (NPI# 1437588738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437588738 |
| Entity Type | Individual |
| Full Name | JENNY SHAE HODGE |
| Practice Address |
47825 Oasis St Indio CA 92201-6950 |
| Mailing Address |
32815 Desert Vista Rd Cathedral City CA 92234-4251 |
| Practice Telephone | 7608638455 |
| Mailing Telephone | 7604090217 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
47825 OASIS ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346262672 | Alisa Huntington | Public Health or Welfare | 47825 Oasis St, Indio, CA 92201-6950 | 2006-07-24 |
| 1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
| 1235750498 | Thu My Phan | Social Worker | 47825 Oasis St, Indio, CA 92201-6950 | 2020-04-29 |
| 1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
| 1689210650 | Brianna Lynn Parrish-perez | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1215573449 | Aneeka Marie Zerkle | Marriage & Family Therapist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-22 |
| 1669014155 | Gerardo L Cossio | Case Manager/Care Coordinator | 47825 Oasis St, Indio, CA 92201-6950 | 2019-10-16 |
| 1033769963 | Lorena Simo Molina | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-09-12 |
| 1992352603 | Jaleesa Sims | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768110 | County of Riverside | Community/Behavioral Health | 82675 Us Highway 111, Indio, CA 92201-5635 | 2020-04-03 |
| 1134590706 | County of Riverside | Community/Behavioral Health | 47940 Arabia St, Indio, CA 92201-6828 | 2015-10-08 |
| 1497125694 | County of Riverisde | Community/Behavioral Health | 46900a Monroe St Ste 101, Indio, CA 92201-5515 | 2015-09-30 |
| 1346638756 | Rosalba Castilloramirez | Community/Behavioral Health | 45325 Birch St, Indio, CA 92201-3740 | 2015-01-07 |
| 1144562315 | County of Riverside | Community/Behavioral Health | 47665 Oasis St, Indio, CA 92201-6950 | 2013-03-26 |
| 1316206907 | Awareness Program | Community/Behavioral Health | 45926 Oasis St, Indio, CA 92201-4559 | 2012-05-16 |
| 1831490465 | Catholic Charities San Bernardino/riverside | Community/Behavioral Health | 81626 Us Highway 111, Indio, CA 92201-5413 | 2010-11-12 |
| 1972772820 | Coalition To Reduce Underage Drinking, Inc. | Community/Behavioral Health | 82500 Us Highway 111, Suite 4, Indio, CA 92201-5661 | 2008-02-25 |
| 1780861500 | Oasis Behavioral Health, Inc. | Community/Behavioral Health | 81557 Doctor Carreon Blvd., Suite C-8 and C-9, Indio, CA 92201-5562 | 2008-01-23 |
| 1427272194 | Riverside County Dept. of Mental Health Substance Abuse Program | Community/Behavioral Health | 46200 Oasis St, Rm. 106, Indio, CA 92201-5933 | 2007-04-12 |
| Find all providers in INDIO | ||||
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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.