CONSTANCE LEAKE (NPI# 1760094445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760094445 |
| Entity Type | Individual |
| Full Name | CONSTANCE LEAKE |
| Practice Address |
2841 Martin Luther King Jr Ave Richmond CA 94804-4021 |
| Practice Telephone | 8558837325 |
| Mailing Telephone | 8558837325 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
615965 | CA | Other Service Providers |
| Street Address |
2841 MARTIN LUTHER KING JR AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924696 | Daviece Nickee Clement | Specialist | 0 E 4th St Ste 14b, Richmond, VA 23224-4202 | 2019-04-15 |
| 1518424571 | Luise Farmer | Specialist | 914 N Boulevard, Richmond, VA 23230-4802 | 2019-02-26 |
| 1811230485 | Tamara W Johnson | Specialist | 5942 Brook Rd, Richmond, VA 23227-2258 | 2013-04-02 |
| 1871716159 | Trudy Eunice Krieger | Specialist | 2919 E East Solon Rd, Richmond, IL 60071-9675 | 2007-04-11 |
| 1972160059 | John Patrick Jacobs | Specialist | 1201 Broad Rock Blvd, Richmond, VA 23249-4915 | 2019-05-23 |
| 1477909109 | Robert Mcgillis | Specialist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2016-05-12 |
| 1235382847 | Cheryl Leigh Hensel-smith | Specialist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2008-10-28 |
| 1023298429 | Trudy's Boutique Inc | Specialist | 2919 E East Solon Rd, Richmond, IL 60071-9675 | 2007-11-14 |
| 1922181882 | Brian Keith Demain | Specialist | 2970 Hilltop Mall Rd, Suite 104, Richmond, CA 94806-1947 | 2006-10-23 |
| 1659454510 | Howard Eugene Davis | Specialist | 2970 Hilltop Mall Rd, Suite 104, Richmond, CA 94806-1947 | 2006-10-23 |
| Find all providers in RICHMOND | ||||
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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.