KOFFI KODOE (NPI# 1669869582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669869582 |
| Entity Type | Individual |
| Full Name | KOFFI KODOE |
| Credential | NURSE |
| Practice Address |
21223 Hollis Ave Queens Village NY 11429 |
| Practice Telephone | 2022947955 |
| Mailing Telephone | 2022947955 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
321675 | NY | Nursing & Custodial Care Facilities |
| Street Address |
21223 HOLLIS AVE |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106199 | Cynthia Joseph | Nutritionist | 100-11 208th Street, Queens Village, NY 11429 | 2020-02-13 |
| 1457917338 | Latoya Coleman | Social Worker | 111-41 Colfax Street, Queens Village, NY 11429 | 2019-05-15 |
| 1194294801 | Nats Ny Inc | Pharmacy | 10311 Springfield Blvd, Queens Village, NY 11429 | 2018-11-26 |
| 1912430901 | Firmause Payen | Specialist | 98-35 211th Street, Queens Village, NY 11429 | 2017-04-06 |
| 1891238515 | Kristen Joassaint | Licensed Practical Nurse | 99-09 217th Lane, Queens Village, NY 11429 | 2016-11-29 |
| 1538615877 | Melissa Glenn | Social Worker | 221-26 111th Ave, Queens Village, NY 11429 | 2016-08-28 |
| 1295190627 | Apak Chiropractic | Chiropractor | 218-02 Hempstead Avenue, 2nd Floor, Queens Village, NY 11429 | 2015-12-30 |
| 1548636996 | Donetta Thomas | Licensed Practical Nurse | 20940 111th Avenue, Queens Village, NY 11429 | 2015-08-19 |
| 1407222920 | Elizabeth O Shodimu | Nutritionist | 110-16 Sutphin Blvd, 111-08 Witthoff Street, Queen's Village, NY 11429 | 2015-08-19 |
| 1457747339 | Marie Decius | Licensed Practical Nurse | 22112 112th Road, Queens Village, NY 11429 | 2015-04-08 |
| Find all providers in zip 11429 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144756479 | Christine Campbell | Skilled Nursing Facility | 14534 109th Ave, Jamaica, NY 11435-5414 | 2017-05-05 |
| 1871033985 | Sukhreet Bibbs | Skilled Nursing Facility | 1 Bradford Ct, Syracuse, NY 13207-2504 | 2017-03-08 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1790239929 | Interim Healthcare | Skilled Nursing Facility | 2088 S Dry Brook Rd, Hancock, NY 13783-3442 | 2016-08-04 |
| 1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1164893400 | Lois Knapp PCa | Skilled Nursing Facility | 2861 State Highway 7, Otego, NY 13825-2139 | 2015-10-13 |
| 1801265913 | Victor Marceano Rn | Skilled Nursing Facility | 85 California Ave, Middletown, NY 10940-6621 | 2015-09-18 |
| 1861860827 | Yves M Bastien | Skilled Nursing Facility | 79 Roeckel Ave, Valley Stream, NY 11580-3506 | 2015-09-08 |
| 1750757027 | Promed Staffing Resources | Skilled Nursing Facility | 99 Cameron Ave, Hempstead, NY 11550-4511 | 2015-08-20 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11429 |
Please comment or provide details below to improve the information on KOFFI KODOE.
| 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.