DORETTA JOHNSON (NPI# 1700242369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700242369 |
| Entity Type | Individual |
| Full Name | DORETTA JOHNSON |
| Credential | CNA |
| Practice Address |
115 Oakland Ave Ste 101c Rock Hill SC 29730-4033 |
| Mailing Address |
1122 Oaklawn Ave Apt C Charlotte NC 28206-3157 |
| Practice Telephone | 8033272273 |
| Practice Fax Number | 8033272275 |
| Mailing Telephone | 8033272273 |
| Mailing Fax Number | 8033272275 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932393329 | Doretta Johnson | Counselor | 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225-4965 | 2007-08-29 |
| Street Address |
115 OAKLAND AVE STE 101C |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083570 | Janelle Graham | Home Health Aide | 515 Cool Creek Dr, Rock Hill, SC 29732-7108 | 2020-11-06 |
| 1447862206 | Deborah A Russell | Home Health Aide | 235 Herlong Ave S, Rock Hill, SC 29732-1159 | 2020-08-21 |
| 1972142487 | Lashanda Wilson | Home Health Aide | 1565 Ebenezer Rd Ste 148, Rock Hill, SC 29732-2494 | 2019-12-31 |
| 1407414139 | Dorenda Durr | Home Health Aide | 715 Patriot Pkwy, Suite 704, Rock Hill, SC 29730-2720 | 2019-05-29 |
| 1881168516 | Lee Ann Evelynn Bogert | Home Health Aide | 3777 Marshall Rd, Rock Hill, SC 29730-9643 | 2019-01-16 |
| 1437630290 | Kesha Leak | Home Health Aide | 1054 S Jones Avenue Ext, Rock Hill, SC 29730-5871 | 2018-08-28 |
| 1518339522 | Krysten Tarbell | Home Health Aide | 1021 Glenarden Dr Apt B, Rock Hill, SC 29730-3585 | 2015-10-29 |
| 1811393549 | Lorna Lewis | Home Health Aide | 627 S York Ave, Rock Hill, SC 29730-3471 | 2014-11-06 |
| 1457518052 | Marvin Alexander Stallworth | Home Health Aide | 339 E Main St Ste 203, Rock Hill, SC 29730-5367 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356802 | True To You In-home Patient Care Services,llc | Home Health Aide | 305 E Smith St, Timmonsville, SC 29161-1821 | 2020-11-03 |
| 1659972909 | Sheila L Knight | Home Health Aide | 412 Waterville Dr, Columbia, SC 29229-8131 | 2020-11-03 |
| 1053912451 | Phillip Douglas Clark Sr. | Home Health Aide | 2126 Highway 9 E Unit 5b, Longs, SC 29568-5725 | 2020-11-03 |
| 1326645862 | Angel Hearts Co. LLC | Home Health Aide | 3656 S Irby St Ste C, Florence, SC 29505-5225 | 2020-10-07 |
| 1306443031 | Shanna Nicole Lewis | Home Health Aide | 214 Doby St, Camden, SC 29020-2312 | 2020-10-06 |
| 1306452636 | Pamela W Wiggins | Home Health Aide | 242 8th Ave, Aynor, SC 29511-3222 | 2020-09-22 |
| 1194331082 | Tamara M Grant | Home Health Aide | 1215 Canterbury Rd, Florence, SC 29505-2904 | 2020-09-17 |
| 1639784549 | Adwell Lerome Scott | Home Health Aide | 819 E Bonnie Ln, Florence, SC 29505-7102 | 2020-09-09 |
| 1982214599 | Tasha Savage | Home Health Aide | 4207 Sea Mountain Hwy Ste C, Little River, SC 29566-6843 | 2020-08-07 |
| 1215546866 | Denitra Tindal-brooks | Home Health Aide | 4564 Wrangler Trl, Sumter, SC 29150-9783 | 2020-07-29 |
| 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.