LEDILLA CAMPBELL (NPI# 1720438500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720438500 |
Entity Type | Individual |
Full Name | LEDILLA CAMPBELL |
Practice Address |
3807 Carnelian Ct Perris CA 92570-7291 |
Practice Telephone | 9513586031 |
Mailing Telephone | 9513586031 |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | 639352 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 225195 | 05 |
Street Address |
3807 CARNELIAN CT |
City | PERRIS |
State | CA |
Zip Code | 92570-7291 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
Find all providers in zip 92570 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720696503 | Bernadette Mendoza | Case Manager/Care Coordinator | 170 Wilkerson Ave Ste Candd, Perris, CA 92570-2200 | 2020-07-17 |
1801330188 | Maria Huerta | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L6-l11, Perris, CA 92571-4709 | 2016-12-06 |
1255785861 | Teresa Leon | Case Manager/Care Coordinator | 1688 N Perris Bldv, Suite L6-11, Perris, CA 92571 | 2016-04-20 |
1295126548 | Rosie Pope | Case Manager/Care Coordinator | 1688 N Perris Blvd # L711, Perris, CA 92571-4709 | 2015-02-09 |
1134546617 | Fernando Luis Moulton | Case Manager/Care Coordinator | 1688 Perris Blvd, Suite L6-11, Perris, CA 92571 | 2014-03-24 |
1992130223 | Beverly Christian | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L1, Perris, CA 92571-4701 | 2013-09-05 |
1336498112 | Areli Ramirez Gonzalez | Case Manager/Care Coordinator | 528 Fair Park Way, Perris, CA 92570-3470 | 2012-09-07 |
1710009790 | Enedina Avena | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L7-11, Perris, CA 92571-4709 | 2007-04-03 |
1265504492 | Bertha Catalina Merino | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L7-l11, Perris, CA 92571-4709 | 2006-11-14 |
1487262200 | Cinthya Denisse Luis | Case Manager/Care Coordinator | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-07-17 |
Find all providers in PERRIS |
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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.