SIA KENDEMA (NPI# 1467993246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467993246 |
| Entity Type | Individual |
| Full Name | SIA KENDEMA |
| Practice Address |
102 Paine Avenue Irvington NJ 07111 |
| Practice Telephone | 9735922703 |
| Mailing Telephone | 9735922703 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
102 PAINE AVENUE |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 07111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1548737240 | Irvington Adult Day Care Center | Clinic/Center | 62-70 Howard Street, Irvington, NJ 07111 | 2018-10-31 |
| 1245754084 | Soul House Cruber Wellness Center | Counselor | 1144 Clinton Avenue, Irvington, NJ 07111 | 2017-08-02 |
| 1689194094 | Anthony Ijehsedeh | Nurse Practitioner | 12 Krotik Place, Irvington, NJ 07111 | 2017-06-27 |
| 1316482078 | Walgreen Co | Pharmacy | 810 Springfield Ave, Irvington, NJ 07111 | 2017-01-04 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1952759276 | Sabreehouse | Community/Behavioral Health | 74 Welland Avenue, Irvington, NJ 07111 | 2016-05-26 |
| 1447624184 | Marius Nzo Yonkeu | Pharmacist | 19 Bruen Ave Apt C1, Irvington, NJ 07111 | 2015-11-18 |
| 1801265251 | Jerrilynn Mccray | Case Management | 12 Momm Court, Irvington, NJ 07111 | 2015-09-16 |
| Find all providers in zip 07111 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200065 | Specialized Quality Care LLC | Respite Care | 76 Elderberry Ln, Willingboro, NJ 08046-2418 | 2020-03-18 |
| 1558827147 | Altruistic Visions A Nj Nonprofit Corporation | Respite Care | 665 Springdale Ave, East Orange, NJ 07017-1610 | 2019-02-19 |
| 1487138715 | Joyce Omoro | Respite Care | 1327 Liberty Ave, Union, NJ 07083-4129 | 2018-09-22 |
| 1326527920 | Kelli Sue Portland | Respite Care | 5 N Ridge Ct, Milford, NJ 08848-1654 | 2018-08-14 |
| 1134626591 | Laura Fonville | Respite Care | 218 Pine Ave, Egg Harbor Township, NJ 08234-5339 | 2018-04-11 |
| 1568967073 | Educational Partnership for Inclusive Communities Inc | Respite Care | 135 Geering Ter, Paramus, NJ 07652-4416 | 2018-03-27 |
| 1073022455 | Creative Healthcare Services Corporation | Respite Care | 600 Route 168, Turnersville, NJ 08012-1495 | 2017-09-28 |
| 1831617026 | Broadway Respite and Home Care, LLC | Respite Care | 1007 Livingston Ave, North Brunswick, NJ 08902 | 2017-09-07 |
| 1891229142 | Arc of Essex County | Respite Care | 123 Naylon Avenue, Livingston, NJ 07419 | 2017-04-13 |
| 1154871705 | Jenkins Outreach for Youth, Inc. | Respite Care | 1407 Elaine Ter, Union, NJ 07083-4712 | 2016-10-06 |
| Find all providers with the same taxonomy | ||||
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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.