DICKSON KIMUCHU (NPI# 1881075612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881075612 |
| Entity Type | Individual |
| Full Name | DICKSON KIMUCHU |
| Practice Address |
1010 Canterbury Dr Prosper TX 75078 |
| Practice Telephone | 2145662388 |
| Mailing Telephone | 2145662388 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
1010 CANTERBURY DR |
| City | PROSPER |
| State | TX |
| Zip Code | 75078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992204598 | Vineyard At Home Services | In Home Supportive Care | 1010 Canterbury Dr, Prosper, TX 75078-5633 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734936 | Qnpham, Pllc | Optometrist | 4940 W. University Dr, Prosper, TX 75078 | 2020-03-10 |
| 1518592005 | Ferrari Orthodontics Pllc | Dentist | 1921 N Preston Rd, Proper, TX 75078 | 2020-03-05 |
| 1629538814 | 380 Smiles Pllc | Clinic/Center | 4940 W. University Dr., Suite 40, Prosper, TX 75078 | 2019-03-22 |
| 1558849158 | Samuel Oh Dmd Pllc | Dentist | 17569 Fishtrap Rd, Ste 80, Prosper, TX 75078 | 2018-08-06 |
| 1003303736 | National Vision, Inc. | Technician/Technologist | 871 South Preston Road, Prosper, TX 75078 | 2018-04-18 |
| 1265934749 | Lumincare Physician Group, Pa | Family Medicine | 1000 North Preston Road Suite 60, Prosper, TX 75078 | 2018-03-01 |
| 1164948436 | Dental Office of Prosper,pc | Dentist | 1180 N Preston Rd Suite 20, Prosper, TX 75078 | 2017-08-18 |
| 1750805602 | Texas Dental Surgery | Dentist | 1180 N Coit Rd Ste 40, Prosper, TX 75078 | 2017-08-02 |
| 1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
| 1679024897 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2451 E. University Drive, Prosper, TX 75078 | 2016-10-24 |
| Find all providers in zip 75078 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700838 | Ucasa, LLC | Technician | 11200 Westheimer Rd Ste 115, Houston, TX 77042-3236 | 2020-11-06 |
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1700484276 | Princess Bacote-brown | Technician | 1038 Cheyenne Ridge Dr, Rosharon, TX 77583-8099 | 2020-10-15 |
| 1063019842 | Maricela Martinez De Lopez | Technician | 3819 Moler St, Dallas, TX 75211-6041 | 2020-10-05 |
| 1689288011 | Ysauro Maldonado Jr. | Technician | 17827 Abd Rd, Harlingen, TX 78552-1752 | 2020-09-02 |
| 1073127460 | Syndy Thi Nguyen | Technician | 3426 Meadowside Dr, Sachse, TX 75048-2269 | 2020-09-02 |
| 1760096382 | Stephanie Brooks | Technician | 10214 Valley Wlnd Dr, Houston, TX 77078 | 2020-09-01 |
| 1194336222 | Honey Hands Personal Care Services LLC | Technician | 4907 Spring Ave # 202, Dallas, TX 75210-1360 | 2020-08-12 |
| 1184234502 | Home of Elegance | Technician | 2901 Thorson Ln Apt 1207, Fort Worth, TX 76116-2077 | 2020-08-01 |
| 1780200956 | Donna Sue Martin | Technician | 5022 Spencer Hwy, Pasadena, TX 77505-1508 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.