MR. STEPHEN PHILLIP GEDDES (NPI# 1598066938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598066938 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN PHILLIP GEDDES |
| Practice Address |
12528 Hawk Lane Houston AK 99694 |
| Mailing Address |
Po Box 299136 Wasilla AK 99629-9136 |
| Practice Telephone | 9078926944 |
| Practice Fax Number | 9078926945 |
| Mailing Telephone | 9078926944 |
| Mailing Fax Number | 9078926945 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
12528 HAWK LANE |
| City | HOUSTON |
| State | AK |
| Zip Code | 99694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154503688 | Lynda J Plettner | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12528 Hawk Lane, Houston, AK 99694-2528 | 2007-11-27 |
| 1093183279 | Cozy Acres LLC | Assisted Living Facility | 12528 Hawk Lane, Houston, AK 99694 | 2015-09-04 |
| 1164723516 | Jody Hall | Case Manager/Care Coordinator | 12528 Hawk Lane, Houston, AK 99694 | 2010-11-16 |
| 1639497415 | Big Lake Country Club, LLC | Case Management | 12528 Hawk Lane, Houston, AK 99694 | 2010-05-04 |
| 1932339942 | Big Lake Mental Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12528 Hawk Lane, Houston, AK 99694-2528 | 2009-07-24 |
| 1154580835 | Big Lake Country Club | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12528 Hawk Lane, Houston, AK 99694-2528 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992132880 | Diane Marie Boyer-walker | Assisted Living Facility | 11269 Wasey Way, Houston, AK 99694 | 2013-10-09 |
| 1720369374 | Cheryl Lynne Page | Community Health Worker | 12370 W Bench Lake Dr, Houston, AK 99694 | 2011-09-08 |
| 1730388190 | Diane Marie Boyer | Home Health | 11269 West Wasey Way, Houston, AK 99694 | 2007-07-16 |
| 1841674082 | Courtney Hopkins | Case Manager/Care Coordinator | 11578 West Ballyshannon Dr., Houston, AK 99694-0133 | 2015-07-17 |
| 1851555007 | Teresa Ann Tangen | Case Manager/Care Coordinator | 12528 Hawk Ln, Houston, AK 99694-1252 | 2008-07-17 |
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216752 | Mental Health Care Solutions LLC | Case Manager/Care Coordinator | 2040 North Loop W Ste 370, Houston, TX 77018-8140 | 2020-05-13 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1013538677 | Porshia D Coleman | Case Manager/Care Coordinator | 350 N Sam Houston Pkwy E Ste 238, Houston, TX 77060-3320 | 2020-05-05 |
| 1659907129 | Debrilya Williams | Case Manager/Care Coordinator | 2500 E T C Jester Blvd Ste 178, Houston, TX 77008-1449 | 2020-03-17 |
| 1720611387 | Paula Free | Case Manager/Care Coordinator | 2828 Bammel Ln Apt 811, Houston, TX 77098-1146 | 2020-02-21 |
| 1922639335 | Light House Case Management | Case Manager/Care Coordinator | 14510 Gable Mountain Cir, Houston, TX 77090-2333 | 2020-02-04 |
| 1881224004 | Allyson Buckner | Case Manager/Care Coordinator | 7373 Ardmore St Apt 1286, Houston, TX 77054-4223 | 2020-01-16 |
| 1861030090 | Jairus Demond Scott | Case Manager/Care Coordinator | 12526 Greencanyon Dr, Houston, TX 77044-7247 | 2019-12-18 |
| 1912544248 | Faith Lyons | Case Manager/Care Coordinator | 3131 West Loop S Apt 463, Houston, TX 77027-6135 | 2019-12-05 |
| 1699323071 | Katina Young | Case Manager/Care Coordinator | 2219 Greenhouse Rd Apt 1304, Houston, TX 77084-7329 | 2019-08-29 |
| Find all providers in HOUSTON | ||||
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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.