LESSIE BATES DAVIS NEIGHBORHOOD HOUSE (NPI# 1659796456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659796456 |
Entity Type | Organization |
Organization Name | LESSIE BATES DAVIS NEIGHBORHOOD HOUSE |
Practice Address |
1200 N 13th St East Saint Louis IL 62205-2975 |
Practice Telephone | 6188740777 |
Practice Fax Number | 6188740511 |
Mailing Telephone | 6188740777 |
Mailing Fax Number | 6188740511 |
Enumeration Date | 2014-03-03 |
Last Update Date | 2014-03-03 |
Authorized Official Name | MR. WILLIAM R KREEB (PRESIDENT/CEO) |
Authorized Official Telephone | 6188752211 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790156610 | Lessie Bates Davis Neighborhood House | Registered Nurse | 1200 North 13th Street, East Saint Louis, IL 62205 | 2015-10-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LESSIE BATES DAVIS NEIGHBORHOOD HOUSE, INC. | 1200 N 13th St, East Saint Louis, IL 62205-2975 |
Street Address |
1200 N 13TH ST |
City | EAST SAINT LOUIS |
State | IL |
Zip Code | 62205-2975 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790156610 | Lessie Bates Davis Neighborhood House | Registered Nurse | 1200 North 13th Street, East Saint Louis, IL 62205 | 2015-10-19 |
1114047859 | Herschel Lee Garrett Jr. | Dentist | 4020 Caseyville Ave, East St Louis, IL 62205 | 2007-03-29 |
1376871103 | Toni M. Jackson | Massage Therapist | 4806 State St, Home Office, East Saint Louis, IL 62205-1355 | 2009-12-07 |
1811347362 | Destinee Hope Grove | Specialist/Technologist | 4901 State St, East Saint Louis, IL 62205-1356 | 2016-06-15 |
1053963470 | Stephanie Michelle Tate-patterson | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2019-07-16 |
1710406962 | Christa R Dyson-spiller | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2017-09-19 |
1558344986 | Gerard X Blaise | Dentist | 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 | 2005-11-21 |
1013269737 | Illinois Express Home Care | In Home Supportive Care | 4601 State St, East Saint Louis, IL 62205-1359 | 2012-10-04 |
1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
1801065289 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
Find all providers in zip 62205 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013269737 | Illinois Express Home Care | In Home Supportive Care | 4601 State St, East Saint Louis, IL 62205-1359 | 2012-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346508 | Bec Personal Care, LLC | In Home Supportive Care | 3513 Sundance Dr, Springfield, IL 62711-6719 | 2020-11-04 |
1083213813 | Universum Care LLC | In Home Supportive Care | 4652 N Orange Ave, Norridge, IL 60706-4408 | 2020-10-22 |
1699373225 | Senior Ally, Inc. | In Home Supportive Care | 600 Holiday Plaza Dr Ste 177, Matteson, IL 60443-2236 | 2020-10-15 |
1083212849 | Ashley Marshall | In Home Supportive Care | 11130 S Longwood Dr Apt 3, Chicago, IL 60643-4049 | 2020-10-14 |
1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
1740887413 | Daka M Corp. | In Home Supportive Care | 1132 Russetwood Ct, Wheeling, IL 60090-5598 | 2020-10-06 |
1861008401 | New Hirez Solutions Inc. | In Home Supportive Care | 4229 Main St, Downers Grove, IL 60515-2139 | 2020-09-18 |
1528673951 | Tchatchouas Healthcare Solutions | In Home Supportive Care | 141 Indiana St, Park Forest, IL 60466-1078 | 2020-09-11 |
1699389478 | Ziing Home Health Co. | In Home Supportive Care | 1045 Aspen St, Hoffman Estates, IL 60169-4447 | 2020-08-31 |
1841803558 | Citycare Services Inc | In Home Supportive Care | 402 Mozart Ct, Wheaton, IL 60189-2056 | 2020-08-24 |
Find all providers with the same taxonomy |
City | EAST SAINT LOUIS |
Zip Code | 62205 |
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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.