JEANNE WATSON (NPI# 1649870379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649870379 |
Entity Type | Individual |
Full Name | JEANNE WATSON |
Practice Address |
254 S Oval Dr Chardon OH 44024-1462 |
Practice Telephone | 4406691027 |
Mailing Telephone | 4406691027 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0176905 | 05 |
Street Address |
254 S OVAL DR |
City | CHARDON |
State | OH |
Zip Code | 44024-1462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
Find all providers in zip 44024 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447347 | Tamara Lynn Hershberger | Respite Care | 2291 Stahl Rd, Coventry Township, OH 44319-1321 | 2020-11-05 |
1639770274 | The Genesis Program | Respite Care | 1104 Johnston St, Akron, OH 44305-2414 | 2020-11-02 |
1164021796 | Vida Lynn Martin | Respite Care | 5969 Us Highway 6, Rome, OH 44085-9672 | 2020-10-24 |
1508465527 | Mercer Residential Services | Respite Care | 420 S Sugar St, Celina, OH 45822-2431 | 2020-10-21 |
1386242121 | Brian Francis Chutes | Respite Care | 110 Harmon Ct, Lagrange, OH 44050-9776 | 2020-10-14 |
1750989794 | Sharon Kay Skeriotis | Respite Care | 2285 Briner Ave, Akron, OH 44305-2140 | 2020-10-12 |
1437757671 | Janice Marie Shipman | Respite Care | 15103 S State Ave, Middlefield, OH 44062-9467 | 2020-10-10 |
1144827494 | Ashley Brzozowski | Respite Care | 12310 Zrolka Dr, Huntsburg, OH 44046-9788 | 2020-10-08 |
1649877168 | Kim M. Bolton | Respite Care | 3666 W 159th St, Cleveland, OH 44111-5706 | 2020-10-07 |
1467059345 | Dominick Wobser | Respite Care | 33365 Ambleside Dr, Avon Lake, OH 44012-2361 | 2020-10-05 |
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.