TERA CAMPBELL (NPI# 1487252219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487252219 |
| Entity Type | Individual |
| Full Name | TERA CAMPBELL |
| Practice Address |
159 Dortmund Dr Fayetteville OH 45118-9406 |
| Practice Telephone | 5132834435 |
| Mailing Telephone | 5132834435 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0801623 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811365406 | Tera Campbell | Counselor | 1603 Capitol Ave Ste 303c, Cheyenne, WY 82001-4561 | 2015-09-13 |
| 1598391831 | Tera Campbell | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2020-03-18 |
| Street Address |
159 DORTMUND DR |
| City | FAYETTEVILLE |
| State | OH |
| Zip Code | 45118-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558770396 | Jarrod Dumford | Home Health Aide | 18251 Gauche Rd, Fayetteville, OH 45118 | 2014-08-06 |
| 1548684210 | Fayetteville Fire Department, Inc. | Ambulance | 100 N. Apple St., Fayetteville, OH 45118 | 2014-02-14 |
| 1942529722 | Brown County General Hospital | Family Medicine | 19589 St Rt 68, Fayetteville, OH 45118 | 2010-05-19 |
| 1942387055 | Steven Anthony Battaglia | Surgery | 1061 Brunswick Dr, Fayetteville, OH 45118 | 2006-11-01 |
| 1063500700 | Dale Anthony Kirby | Contractor | 62 Anderson State Road, Fayetteville, OH 45118 | 2006-10-10 |
| 1659764447 | Kathleen Mason | Skilled Nursing Facility | 13 Lorelei Dr, Fayetteville, OH 45118-8404 | 2015-03-18 |
| 1275965675 | Kristin R Paulus | Midwife | 20336 Fayetteville Blanchester Rd, Fayetteville, OH 45118-8432 | 2013-08-07 |
| 1629557053 | Brittany Noel Hall | Psychologist | 521 S Apple St, Fayetteville, OH 45118-8461 | 2018-08-07 |
| 1821237710 | Fayetteville-perry Local Schools | Local Education Agency (LEA) | 501 S Apple St, Fayetteville, OH 45118-8461 | 2009-02-17 |
| 1245639509 | Lori Prine | Speech-Language Pathologist | 601 S Apple St, Fayetteville, OH 45118-8462 | 2014-08-22 |
| Find all providers in zip 45118 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077485 | Pmp Home Care Agency Inc | In Home Supportive Care | 5329 Yadkin Rd Ste B, Fayetteville, NC 28303-3254 | 2020-09-09 |
| 1609481571 | Valley Care LLC | In Home Supportive Care | 2978 Cumberland Rd Ste 102, Fayetteville, NC 28306-2373 | 2020-09-08 |
| 1184236564 | Health & Home Services, Inc. | In Home Supportive Care | 2411 Robeson Street, Suite 100, Fayetteville, NC 28305-5577 | 2020-08-18 |
| 1609487487 | Living Private Home Care, LLC | In Home Supportive Care | 101 Devant St Ste 105a, Fayetteville, GA 30214-2711 | 2020-08-13 |
| 1518576289 | New Revelation Home Care LLC | In Home Supportive Care | 1500 Bragg Blvd Ste 104, Fayetteville, NC 28301-4289 | 2020-07-28 |
| 1063038792 | Dianna Marie Anderson | In Home Supportive Care | 101 Old Sandy Creek Rd Ste B, Fayetteville, GA 30214-4546 | 2020-06-18 |
| 1487279485 | A Clear Look Coaching Agency, LLC | In Home Supportive Care | 4582 Cumberland Rd Ste 104, Fayetteville, NC 28306-2416 | 2020-06-15 |
| 1679198899 | A Clear Look Coaching Agency, LLC | In Home Supportive Care | 910 Hay St, Fayetteville, NC 28305-5314 | 2020-06-12 |
| 1356965164 | Kedra Daniel | In Home Supportive Care | 435 Brenda Ln, Fayetteville, GA 30214-1505 | 2020-06-08 |
| 1932731700 | Light of The World Home Care LLC | In Home Supportive Care | 3069 Cumberland Rd Ste 104, Fayetteville, NC 28306-6819 | 2020-02-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 45118 |
Please comment or provide details below to improve the information on TERA CAMPBELL.
| 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.