DR. SHANELL S GREENE


Address: 542 S 54th St, Philadelphia, PA 19143-1916
Phone: 2679045987

DR. SHANELL S GREENE (NPI# 1477047884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477047884
Entity Type Individual
Full Name DR. SHANELL S GREENE
Practice Address 542 S 54th St
Philadelphia
PA 19143-1916
Practice Telephone 2679045987
Mailing Telephone 2679045987
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA NURSING 473848614 01

Office Location

Street Address 542 S 54TH ST
City PHILADELPHIA
State PA
Zip Code 19143-1916

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1366924011 Whitney Tamika Carter Specialist/Technologist 5526 Ridgewood St, Philadelphia, PA 19143 2018-08-29
1639662190 Mattew Muchnick Physical Therapist 4730 Hazel Ave 2r, Philadelphia, PA 19143 2018-06-10
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1205352671 New Visions Case Management & Consulting, LLC Social Worker 726 S 55th Street, Philadelphia, PA 19143 2017-08-17
1104342583 Mercy Management of Southeastern Pennsylvania Orthopaedic Surgery 501 S 54th St Ste 28, Phila, PA 19143 2017-08-17
1093238388 Blessed Hands Home Care Agency L.L.C. Home Health 433 S. 57th Street, Phila, PA 19143 2017-07-19
1891216529 Ashley Seiver Occupational Therapist 923 S. 46th Street, Philadelphia, PA 19143 2017-07-03
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356948731 Ennoble Care of Pennsylvania LLC Hospice Care, Community Based 1650 Market St Ste 2600, Philadelphia, PA 19103-7301 2020-10-08
1013538891 Vital Alliance Home Care Hospice Care, Community Based 3629 Whitehall Ln, Philadelphia, PA 19114-1826 2020-05-02
1912526344 Philadelphia Family Home Care LLC Hospice Care, Community Based 1320 N Franklin St, Philadelphia, PA 19122-4590 2020-04-15
1366071789 Benevolent Touch Home Healthcare Agency Hospice Care, Community Based 6439 Greene St Apt C9, Philadelphia, PA 19119-3236 2020-04-07
1659839470 Cross Rivers, LLC Hospice Care, Community Based 1500 Jfk Blvd Ste 1900, Philadelphia, PA 19102-1714 2019-03-11
1629544283 Liberty Bell Home Care Services, Inc. Hospice Care, Community Based 449 W Dauphin St, Philadelphia, PA 19133-2916 2018-10-22
1386123867 Aidecare Hospice Inc Hospice Care, Community Based 6421 Castor Ave, Philadelphia, PA 19149-2736 2018-08-07
1003338823 Love Begins Home Care LLC Hospice Care, Community Based 5636 Pemberton St, Philadelphia, PA 19143-2420 2017-07-13
1346693496 Legendary Support Coordination, LLC Hospice Care, Community Based 4950 Parkside Ave Ste 102, Philadelphia, PA 19131-4700 2016-07-13
1780055210 Dor To Dor Home Care Hospice Care, Community Based 6324 Shelbourne St, Philadelphia, PA 19111-5615 2015-10-09
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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

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.

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