DYSHAI MIMS (NPI# 1598281503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598281503 |
| Entity Type | Individual |
| Full Name | DYSHAI MIMS |
| Practice Address |
182 Hanover St Bridgeport CT 06604-3706 |
| Mailing Address |
57 Eastwood Rd Bridgeport CT 06606-1409 |
| Practice Telephone | 2035726265 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | NA9988429 | CT | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 065775 | 05 |
| Street Address |
182 HANOVER ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938359 | Inez Arboleda | Adult Companion | 2335 Madison Ave, Bridgeport, CT 06606-3244 | 2020-03-25 |
| 1255837621 | Our Family Home Healthcare | Adult Companion | 330 Granfield Ave, Bridgeport, CT 06610-2305 | 2018-04-03 |
| 1003319617 | Elvina Benjamin | Adult Companion | 2600 Park Ave Unit 8w, Bridgeport, CT 06604-1321 | 2018-03-10 |
| 1316479454 | Myron Dukes | Adult Companion | 955 Connecticut Ave, Ste 5305, Bridgeport, CT 06607-1224 | 2017-03-29 |
| 1578003653 | Tamara Gordon | Adult Companion | 217 Jewett Ave, Bridgeport, CT 06606-2826 | 2017-03-08 |
| 1316356306 | Kimberly Duval-hall | Adult Companion | 1784 North Ave, Bridgeport, CT 06604-2500 | 2014-08-05 |
| 1982120747 | Helen's Homecare | Adult Companion | 955 Connecticut Ave, #5305, Bridgeport, CT 06607-1297 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639438 | Jonathon Sanchez | Adult Companion | 31 High St Apt 8106, East Hartford, CT 06118-3804 | 2019-09-24 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1134697402 | Rose Derosier | Adult Companion | 892 Stillson Rd, Fairfield, CT 06824-3120 | 2018-11-05 |
| 1073088365 | Quiana Carmon | Adult Companion | 60 Virginia Dr, Meriden, CT 06450-7815 | 2018-10-12 |
| 1700380706 | Joel Donnel Kirkland Sr. | Adult Companion | 30 Brewster St, New Haven, CT 06511-1804 | 2018-03-22 |
| 1487164794 | Edwin M Almonte | Adult Companion | 8 Library Pl, Bethel, CT 06801-2106 | 2017-10-02 |
| 1386029247 | Fairfield County Senior Services, L.L.C. | Adult Companion | 52 Marsh Rd, Easton, CT 06612 | 2015-07-21 |
| 1124278411 | Helping Hands Health Care Agency LLC | Adult Companion | 11 Hanford Place, Norwalk, CT 06854-3088 | 2008-09-24 |
| 1972764769 | Faith Kasor Gbatu | Adult Companion | 609 Mix Ave, # C, Hamden, CT 06514-2354 | 2008-06-24 |
| 1518128271 | Star Senior Care LLC | Adult Companion | 281b Reservoir Ave, Meriden, CT 06451-2845 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.