ELLENA SMITH (NPI# 1629444641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629444641 |
| Entity Type | Individual |
| Full Name | ELLENA SMITH |
| Practice Address |
3715 Kadey Dr Charlotte NC 28208-2290 |
| Practice Telephone | 3016400151 |
| Mailing Telephone | 3016400151 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
3715 KADEY DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316313455 | Iyana Smith | Home Health Aide | 3715 Kadey Dr, Charlotte, NC 28208-2290 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998825 | Shaun Anthony | Technician | 1601 Sansberry Rd, Charlotte, NC 28262-4937 | 2019-12-04 |
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1679124671 | John Wayne Minter | Technician | 10007 Elsenham Ln, Charlotte, NC 28269-8349 | 2019-09-23 |
| 1760033716 | Frankie Miller Peterson | Technician | 9631 Bales Ln, Charlotte, NC 28227-7083 | 2019-09-20 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
| 1538715800 | Constance Marie Roberts | Technician | 2023 Woodtop Ct, Charlotte, NC 28214-2932 | 2019-08-13 |
| 1609421817 | Meiosha Mcwhorter | Technician | 7637 Lady Liberty Ln, Charlotte, NC 28217-3600 | 2019-08-05 |
| 1619476975 | Kashonna Forney | Technician | 8228 Hornwood Ct, Charlotte, NC 28215-7362 | 2018-02-01 |
| 1770781098 | Teneika Clifton Funderburk | Technician | 6033 Florence Ave Ste 200, Charlotte, NC 28212 | 2007-07-08 |
| Find all providers in CHARLOTTE | ||||
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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.