ETIENNA COLEMAN (NPI# 1780135020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780135020 |
| Entity Type | Individual |
| Full Name | ETIENNA COLEMAN |
| Practice Address |
3621 Louisiana Ave Saint Louis MO 63118-3509 |
| Practice Telephone | 3145502990 |
| Mailing Telephone | 3145502990 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 81-3262557 | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 81326557 | 05 |
| Street Address |
3621 LOUISIANA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811420680 | Home Forever Professional Care LLC | Home Health | 3621 Louisiana Ave, Saint Louis, MO 63118-3509 | 2017-04-07 |
| 1841735602 | Home Forever Professional Care | Home Health | 3621 Louisiana Ave, Saint Louis, MO 63118-3509 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1689281156 | Darnice Hudson | Home Health Aide | 8723 Marcella Ave, Saint Louis, MO 63121-4105 | 2020-09-28 |
| 1235757832 | Legacy Home Care LLC | Home Health Aide | 1100 Mona Dr, Saint Louis, MO 63130-2130 | 2020-07-09 |
| 1700404845 | Tyronia Patricia Porchia | Home Health Aide | 8911 Ramona Ave, Saint Louis, MO 63121-4018 | 2020-07-06 |
| 1942826730 | Victoria J Washington | Home Health Aide | 4218 E Maffitt Ave, Saint Louis, MO 63113-2935 | 2020-06-17 |
| 1588287916 | St. Louis Homecare, LLC | Home Health Aide | 7961 Big Bend Blvd, Saint Louis, MO 63119-2703 | 2020-05-20 |
| 1013543016 | Shanika Whitfield | Home Health Aide | 4106 Enright Ave Apt 104, Saint Louis, MO 63108-3058 | 2020-03-21 |
| 1033758974 | Ronnika Lane | Home Health Aide | 24 Compton Ave, Saint Louis, MO 63135-2732 | 2019-12-23 |
| 1467097402 | Lynette Mcalpine | Home Health Aide | 3144 Chippewa St, Saint Louis, MO 63118-3632 | 2019-11-14 |
| 1285278069 | Justin Johnson | Home Health Aide | 5636 Statler Ave, Saint Louis, MO 63136-1127 | 2019-11-04 |
| 1538703814 | Latoya L Taylor | Home Health Aide | 10720 Sibley Ct, Saint Louis, MO 63136-4416 | 2019-10-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on ETIENNA COLEMAN.
| 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.