SHARECKA GRUBBS (NPI# 1497312870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497312870 |
| Entity Type | Individual |
| Full Name | SHARECKA GRUBBS |
| Credential | RN |
| Practice Address |
621 Griffin St Lancaster TX 75146-2329 |
| Practice Telephone | 2144343141 |
| Mailing Telephone | 2144343141 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | TX | Nursing & Custodial Care Facilities |
| Street Address |
621 GRIFFIN ST |
| City | LANCASTER |
| State | TX |
| Zip Code | 75146-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392188 | Otha Watson | Home Health | 3003 Driftwood Ln, Lancaster, TX 75146 | 2018-04-04 |
| 1295278208 | Habibat Addulkarim Audu | Licensed Vocational Nurse | 1211 Westridge Avenue, 202, Lancaster, TX 75146 | 2016-11-22 |
| 1154772457 | Dion Leathers | Physician Assistant | 439 Francis St, Lancaster, TX 75146 | 2016-06-28 |
| 1205287828 | Elisha Chapman | Specialist/Technologist, Other | 415 S Dallas Ave, Lancaster, TX 75146 | 2016-06-24 |
| 1205224862 | Bestin Abraham | Pharmacist | 350 N. Bluegrove Rd, Lancaster, TX 75146 | 2015-01-06 |
| 1134525751 | Shekina Barber | Counselor | 2810 Saint Croix Ave, Lancaster, TX 75146 | 2014-11-10 |
| 1306276910 | Elisia Beck | Chore Provider | 585 Rolling Hills Pl., #321, Lancaster, TX 75146 | 2013-11-18 |
| 1639443146 | Angela D Nowell | Nurse Practitioner | 2700 West Pleasant Run Road, Suite 300, Lancaster, TX 75146 | 2012-03-01 |
| 1003196510 | Callie House | Residential Treatment Facility, Physical Disabilities | 913 Francis St., Lancaster, TX 75146 | 2011-08-29 |
| 1851602882 | Leo Davis | Dentist | 1370 W Beltline Rd, Ste 100, Lancaster, TX 75146 | 2010-06-24 |
| Find all providers in zip 75146 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144400854 | Ck II, Inc. | Intermediate Care Facility, Mentally Retarded | 2236 W Avenue K9, Lancaster, CA 93536-1168 | 2007-11-09 |
| 1376723007 | Ck I, Inc. | Intermediate Care Facility, Mentally Retarded | 43111 Lemonwood Dr, Lancaster, CA 93536-4724 | 2007-11-09 |
| 1982737839 | Friendship Community | Intermediate Care Facility, Mentally Retarded | 2044 Pennwick Rd, Lancaster, PA 17601-5422 | 2007-03-13 |
| 1639202583 | Friendship Community | Intermediate Care Facility, Mentally Retarded | 2165-a New Holland Pike, Lancaster, PA 17601-5435 | 2007-03-13 |
| 1265429278 | County of Grant - Orchard Manor Fdd | Intermediate Care Facility, Mentally Retarded | 8800 Hwy 61, Lancaster, WI 53813-9306 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
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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.