BOLIVAR COUNTY CAA (NPI# 1639353600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639353600 |
| Entity Type | Organization |
| Organization Name | BOLIVAR COUNTY CAA |
| Practice Address |
810 E Sunflower Rd Suite 120 Cleveland MS 38732-2800 |
| Practice Telephone | 6628461491 |
| Practice Fax Number | 6628430173 |
| Mailing Telephone | 6628461491 |
| Mailing Fax Number | 6628430173 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | LOUISE MEYER (FISCAL OFFICER) |
| Authorized Official Telephone | 6628461491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
810 E SUNFLOWER RD SUITE 120 |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168350 | Paul Warrington | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2006-03-16 |
| 1104332089 | Clare Adams Moore | Nurse Practitioner | 810 E Sunflower Rd, Cleveland, MS 38732-2800 | 2017-12-14 |
| 1366966228 | Matthew Jackson Mosow | Physical Medicine & Rehabilitation | 810 E Sunflower Rd, Suite 150, Cleveland, MS 38732 | 2017-08-01 |
| 1518394287 | Urgent Team Management of Cleveland, LLC | Clinic/Center | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2013-09-26 |
| 1467794578 | The Medical Technology Institute | Nurse Practitioner | 810 E Sunflower Rd, Suite J, Cleveland, MS 38732-2800 | 2013-03-27 |
| 1902176373 | Long Chiropractic Pllc | Chiropractor | 810 E Sunflower Rd, Suite 100 E, Cleveland, MS 38732-2800 | 2012-01-03 |
| 1184994634 | Joy Victoria Long | Chiropractor | 810 E Sunflower Rd, Suite 100e, Cleveland, MS 38732-2800 | 2011-12-30 |
| 1235414145 | Melanie King | Nurse Practitioner | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2011-10-12 |
| 1639477425 | Mary Cay Brooks Ely | Nurse Practitioner | 810 E Sunflower Rd, Ste 140, Cleveland, MS 38732-2800 | 2011-03-03 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| 1427658152 | Yahaira N/a Mason | Home Health | 5228 E Farnhurst Rd, Cleveland, OH 44124-1240 | 2020-10-30 |
| 1205435807 | Toya Homes Cares Agency LLC | Home Health | 12200 Fairhill Rd Ste C248, Cleveland, OH 44120-1058 | 2020-10-23 |
| 1245847557 | Connections In Ohio, Inc. | Home Health | 8001 Sweet Valley Dr Ste 4, Cleveland, OH 44125-4209 | 2020-09-30 |
| 1487261194 | Ann D Jones | Home Health | 12912 Harvard Ave, Cleveland, OH 44105-4756 | 2020-09-26 |
| 1750998753 | Dennis Wells Jr. | Home Health | 11709 Imperial Ave, Cleveland, OH 44120-3106 | 2020-09-24 |
| 1750996732 | Joan Richelson | Home Health | 2231 S Green Rd, Cleveland, OH 44121-3325 | 2020-09-15 |
| 1912512245 | Norwill Skilled Care | Home Health | 3100 E 45th St Ste 102, Cleveland, OH 44127-1094 | 2020-09-14 |
| 1801405550 | Dayspring Home Healthcare Company | Home Health | 11811 Shaker Blvd Ste 305, Cleveland, OH 44120-1960 | 2020-07-29 |
| Find all providers in CLEVELAND | ||||
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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.