ISSAC CORRETTE EVANS JR. (NPI# 1649461500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649461500 |
Entity Type | Individual |
Full Name | ISSAC CORRETTE EVANS JR. |
Practice Address |
2810 Harlem Ave Baltimore MD 21216 |
Practice Telephone | 4108142179 |
Mailing Telephone | 4108142179 |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers |
Street Address |
2810 HARLEM AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
1609414911 | New Insights Behavioral Health | Community/Behavioral Health | 2718 West North Ave, Suite 255, Baltimore, MD 21216 | 2019-12-17 |
Find all providers in zip 21216 |
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 |
---|---|---|---|---|
1538628169 | Bianca Thompson | Adult Companion | 7476 Catterick Ct, Baltimore, MD 21244-5600 | 2019-03-13 |
1023457074 | Chantel Tiffany Rainey | Adult Companion | 5504 Plymouth Rd, Baltimore, MD 21214-1618 | 2013-06-21 |
1336264456 | Lyudmila Ogay | Adult Companion | Fords Lane 3615, Apt 313, Baltimore, MD 21215 | 2007-03-20 |
1942815352 | Tammitha Lewis | Adult Companion | 1514 Madison Ave, Baltimore, MD 21217-3645 | 2020-09-11 |
1467090985 | Monarch Health Systems Inc | Adult Companion | 4909 Liberty Heights Ave, Baltimore, MD 21207-8235 | 2019-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073149852 | Fatoumata Tamadou | Adult Companion | 4625 Horizon Cir Apt 102, Pikesville, MD 21208-6801 | 2020-03-12 |
1588203137 | Marcia Benfica | Adult Companion | 12119 Triple Crown Rd, North Potomac, MD 20878-3788 | 2019-12-30 |
1558909804 | Lawanda Michelle Thomas | Adult Companion | 4301 23rd Pkwy Apt 213, Temple Hills, MD 20748-4449 | 2019-12-17 |
1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
1588217822 | Abundant Care Services | Adult Companion | 1045 Taylor Ave Ste 15, Towson, MD 21286-8328 | 2019-07-16 |
1710442876 | Fatuma Kedir Ahmed | Adult Companion | 9743 Softwater Way, Columbia, MD 21046-1815 | 2019-02-04 |
1174095269 | Jomesa De'lice Blair | Adult Companion | 315 Mountain Ridge Ct Apt C, Glen Burnie, MD 21061-1343 | 2018-12-30 |
1609346469 | Adewale Adeniran Adenuga | Adult Companion | 9763 Good Luck Rd Apt 8, Lanham, MD 20706-3330 | 2018-12-04 |
1326522046 | Luther Boyd Sullivan | Adult Companion | 317 Bryan Pl, Hagerstown, MD 21740-4534 | 2018-09-19 |
1710467824 | Alison Salvatore | Adult Companion | 35 Fulford Ave Ste 200, Bel Air, MD 21014-3941 | 2018-08-17 |
Find all providers with the same taxonomy |
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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.