SHANNY'S HOME CARE LLC (NPI# 1740777291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740777291 |
| Entity Type | Organization |
| Organization Name | SHANNY'S HOME CARE LLC |
| Practice Address |
19207 Packard St Detroit MI 48234-3197 |
| Mailing Address |
2445 Dunn Ave Apt 1215 Jacksonville FL 32218-6903 |
| Practice Telephone | 5864433334 |
| Practice Fax Number | 8779484348 |
| Mailing Telephone | 5864433334 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ARECIA PATRICE LOVE (OWNER) |
| Authorized Official Telephone | 5864801587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HOME CARE | 1194001727 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2445 Dunn Ave Apt 1215, Jacksonville, FL 322186903 | 5864433334 | 8779484348 |
| Street Address |
19207 PACKARD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1639770696 | Bianca Lewis | Nurse's Aide | 18126 Brinker St, Detroit, MI 48234-1500 | 2020-11-05 |
| 1811500085 | Karla J Jackson | Nurse's Aide | 11832 Dwyer St, Detroit, MI 48212-2520 | 2020-08-27 |
| 1336751833 | Lawreese Deshan Smith | Nurse's Aide | 16242 Manor St, Detroit, MI 48221-2859 | 2020-08-18 |
| 1417569740 | Valerie Ellis | Nurse's Aide | 6871 Longacre St, Detroit, MI 48228-4700 | 2020-08-18 |
| 1326604976 | Arniece Elaine Sewell | Nurse's Aide | 19415 Dequindre St, Detroit, MI 48234-1209 | 2019-05-18 |
| 1578127197 | Lakisha M Lige | Nurse's Aide | 9267 Artesian St, Detroit, MI 48228-1703 | 2019-04-29 |
| 1528526191 | Joyce Vernice Mccroy | Nurse's Aide | 3358 Vicksburg St, Detroit, MI 48206-2357 | 2019-03-03 |
| 1447755442 | Crystal Darnella Weaver-smith | Nurse's Aide | 18038 Oakfield St, Detroit, MI 48235-3279 | 2018-03-29 |
| 1770085540 | Ladonna Girty | Nurse's Aide | 20210 Winthrop St, Detroit, MI 48235-1815 | 2018-03-07 |
| 1225536634 | Terrance Lamarque | Nurse's Aide | 20046 Washburn St, Detroit, MI 48221-1020 | 2018-01-31 |
| Find all providers in DETROIT | ||||
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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.