KELLEY AMADASUN IV (NPI# 1629010970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629010970 |
| Entity Type | Individual |
| Full Name | KELLEY AMADASUN IV |
| Practice Address |
905 Green Cove Ln Dallas TX 75232-1639 |
| Practice Telephone | 2143746722 |
| Practice Fax Number | 2143763909 |
| Mailing Telephone | 2143746722 |
| Mailing Fax Number | 2143763909 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
905 GREEN COVE LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75232-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568639987 | Blessing & Amazing Home Health Agency Inc | Home Health | 905 Green Cove Ln, Dallas, TX 75232-1639 | 2008-05-14 |
| 1225073224 | Sharon Love | Licensed Vocational Nurse | 905 Green Cove Ln, Dallas, TX 75232-1639 | 2006-06-17 |
| 1497799738 | Amazing & Blessed Home Health Services Inc | Home Health | 905 Green Cove Ln, Dallas, TX 75232-1639 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705348 | Kimberly Mitchell | Technician | 5645 Elm Valley Ln, Dallas, TX 75232 | 2019-11-27 |
| 1457900607 | Jewelene Colbert | Technician | 1630 Oak Glen Trl., Dallas, TX 75232 | 2019-09-10 |
| 1700330032 | Ahad G Sheikh | Dentist | 4767 Vista Woods Blvd, Dallas, TX 75232 | 2016-08-03 |
| 1962881748 | Legacy Dental of Glen Oaks | Dentist | 4767 Vista Wood Blvd, Ste 110, Dallas, TX 75232 | 2015-05-26 |
| 1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
| 1356782098 | Sonja Lynette Shipp | Counselor | 5787 South Hampton Road, Suite 230-k, Dallas, TX 75232 | 2013-07-10 |
| 1073856233 | Heart To Heart Hospice of Dallas, LLC | Hospice Care, Community Based | 5787 S Hampton Rd Ste 430, Dallas, TX 75232 | 2013-04-05 |
| 1700131976 | Vivian Kay Thompson | Counselor | 5034 Haywood Pkwy, Dallas, TX - TEXAS 75232 | 2012-07-13 |
| 1821379819 | Cts - Cotton Traveling Service | Bus | 539 Meadow Health Lane, Dallas, TX 75232 | 2011-09-02 |
| 1467696781 | Faith Residential House Inc #1 | Exclusive Provider Organization | 6840 Brierfield Cir, Dallas, TX 75232 | 2009-04-30 |
| Find all providers in zip 75232 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174587 | Anna Barley | Home Health Aide | 445 Shady Gln, Dallas, GA 30132-0516 | 2020-08-12 |
| 1669015327 | Friendly Companion and Homemakers LLC | Home Health Aide | 2424 Poinciana Ln, Dallas, TX 75212 | 2019-10-24 |
| 1740849090 | Courtney Danielle Allen | Home Health Aide | 4849 Frankford Rd Apt 514, Dallas, TX 75287-5307 | 2019-06-11 |
| 1760967541 | Gregory Balogun | Home Health Aide | 10990 Switzer Ave Ste 301, Dallas, TX 75238-1363 | 2018-09-27 |
| 1972014223 | Judith Johnson | Home Health Aide | 2828 Forest Ln Ste 1143, Dallas, TX 75234 | 2017-10-13 |
| 1982129995 | Patricia Wilson | Home Health Aide | 3808 Saddleback Dr, Dallas, TX 75227-5262 | 2017-08-10 |
| 1942734876 | Maurice Simmons | Home Health Aide | 5008 Holland Ave Apt 16, Dallas, TX 75209-6573 | 2017-04-18 |
| 1730534934 | Cortney Ra'von Mumphrey | Home Health Aide | 4931 Junius St, Unit #1, Dallas, TX 75214-5309 | 2016-04-26 |
| 1992170955 | Dalmas Onyango | Home Health Aide | 3773 Timberglen Rd Apt 805, Dallas, TX 75287-3719 | 2015-12-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in DALLAS | ||||
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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.