KESHA DENAY BACCUS (NPI# 1730727686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730727686 |
| Entity Type | Individual |
| Full Name | KESHA DENAY BACCUS |
| Practice Address |
2490 Lee Blvd Cleveland Hts OH 44118-1268 |
| Mailing Address |
18414 Glen Ave Cleveland OH 44110-2811 |
| Practice Telephone | 2166005194 |
| Mailing Telephone | 2164179034 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2490 LEE BLVD |
| City | CLEVELAND HTS |
| State | OH |
| Zip Code | 44118-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771951 | Jerome Walcott | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-12-17 |
| 1285103556 | Tramane Medley | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-11-16 |
| 1972071025 | Anton Currie | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-11-07 |
| 1811463128 | Anjenette Whitted | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-10-15 |
| 1104101955 | Sirrah Transportation Svcs, LLC | Non-emergency Medical Transport (VAN) | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2011-10-12 |
| 1932324787 | Clover English IIi | Social Worker | 2490 Lee Blvd, Suite 102, Cleveland Hts, OH 44118-1268 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| 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 |
|---|---|---|---|---|
| 1790202661 | Keturah L Thompson | Case Manager/Care Coordinator | 2940 Noble Rd Ste 101, Cleveland Hts, OH 44121-2242 | 2017-08-23 |
| 1568906105 | Stephen Carter Jr. | Case Manager/Care Coordinator | 1080 Yellowstone Rd, Cleveland Hts, OH 44121-1405 | 2016-12-16 |
| 1467090316 | Karli Michelle Scott | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland Hts, OH 44118-1255 | 2019-12-11 |
| 1922640275 | Luvedia T Bonner | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 219, Cleveland Hts, OH 44118-1269 | 2019-10-08 |
| 1588211536 | Dennis Milton Ranch | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 219, Cleveland Hts, OH 44118-1269 | 2019-08-23 |
| 1508328634 | Dyaisha Thompson | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland Hts, OH 44118-1255 | 2019-04-06 |
| 1164983839 | Lakeycha D Brown | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland Hts, OH 44118-1255 | 2019-03-26 |
| 1942771951 | Jerome Walcott | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-12-17 |
| 1285103556 | Tramane Medley | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-11-16 |
| 1972071025 | Anton Currie | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Hts, OH 44118-1268 | 2018-11-07 |
| Find all providers in CLEVELAND HTS | ||||
| City | CLEVELAND HTS |
| Zip Code | 44118 |
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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.