PANDORA REDMOND-WILLS (NPI# 1760049829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760049829 |
Entity Type | Individual |
Full Name | PANDORA REDMOND-WILLS |
Other Name | MRS. PANDORA REDMOND |
Credential | RN |
Practice Address |
749 Main St Greenville MS 38701-4108 |
Mailing Address |
Po Box 4580 Greenville MS 38704-4580 |
Practice Telephone | 6623355554 |
Practice Fax Number | 6623355580 |
Mailing Telephone | 6628221924 |
Mailing Fax Number | 6623355580 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-05-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
MS | Ambulatory Health Care Facilities | |
N | 372600000X | Adult Companion | MS | Nursing Service Related Providers | |
N | 376J00000X | Homemaker | MS | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 06908787 | 05 | |
MS | 07331397 | 05 | |
MS | 08679792 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1633 Broadway Ext N, Greenville, MS 387031942 | 6628221924 | 6623355580 |
Street Address |
749 MAIN ST |
City | GREENVILLE |
State | MS |
Zip Code | 38701-4108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
Find all providers in zip 38701 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609490101 | Circle of Life Adult Daycare | Clinic/Center | 159 Commons Way, Greenville, SC 29611-3850 | 2020-06-01 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1275179095 | Reflections of Faith LLC | Clinic/Center | 805 Park St, Greenville, TX 75401-5431 | 2019-11-27 |
1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
1265955959 | Senior Empowerment Center, LLC | Clinic/Center | 2524 E Alexander St Ste B, Greenville, MS 38703-3330 | 2017-07-25 |
1750826327 | Hinds Street Baptist Church | Clinic/Center | 448 N Hinds St, Greenville, MS 38701-2928 | 2017-01-05 |
1023492063 | Our House of Mayersville Adult Day Services | Clinic/Center | 564 Cypress Ln Apt 512, Greenville, MS 38701-7470 | 2015-07-18 |
1003294760 | Martha Montgomery | Clinic/Center | 112 W Faris Rd, Greenville, SC 29605-3061 | 2015-05-14 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38701 |
Please comment or provide details below to improve the information on PANDORA REDMOND-WILLS.
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.