MARCIA MOODIE (NPI# 1902207996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902207996 |
| Entity Type | Individual |
| Full Name | MARCIA MOODIE |
| Practice Address |
13023 218th St Laurelton NY 11413-1232 |
| Practice Telephone | 7185252932 |
| Practice Fax Number | 7185252932 |
| Mailing Telephone | 7185252932 |
| Mailing Fax Number | 7185252932 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 244802-1 | NY | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598239907 | Marcia Marie Moodie | Nurse Practitioner | 6107 Nw 69th Ave, Tamarac, FL 33321-5663 | 2019-01-18 |
| Street Address |
13023 218TH ST |
| City | LAURELTON |
| State | NY |
| Zip Code | 11413-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327054 | Mireille Conserve | Licensed Practical Nurse | 226 145th Ave, Spring Field, NY 11413 | 2019-10-08 |
| 1619433208 | Taina Baker | Nurse Practitioner | 143-71 229th Street, Springfield Gardens, NY 11413 | 2019-02-19 |
| 1942764915 | Jacqueline Archer | Registered Nurse | 2212 145 Road, Springfiled Gardens, NY 11413 | 2019-01-24 |
| 1841709524 | Sandra Williams | Specialist | 145-79 223 St, Springfield Gardens, NY 11413 | 2017-09-25 |
| 1508375478 | Tamara Williams | Registered Nurse | 142-29 231 St, Springfield Gardens, NY 11413 | 2017-09-23 |
| 1184140113 | Igbans Home Care Services | Home Health | 21834 139 Avenue, Springfield Gardens, NY 11413 | 2017-08-22 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1174061741 | Assured Home Companion Care Inc | Home Health | 13519 221st St, Laurelton, NY 11413 | 2017-02-03 |
| 1831631084 | Grace Elizabeth Jaramillo | Home Health | 135-11 229 Street, Ph, Laurelton, NY 11413 | 2016-11-04 |
| 1720530504 | Nadine Gordon | Licensed Practical Nurse | 182 03 143rd Ave, Springfield Garden, NY 11413 | 2016-10-27 |
| Find all providers in zip 11413 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1093313991 | Skynet Home Care Agency Inc | Adult Companion | 775 Concourse Vlg E Apt 4d, Bronx, NY 10451-3939 | 2020-10-13 |
| 1831796531 | Alisha Christine Wright | Adult Companion | 142 Saint Louis Ave, Syracuse, NY 13207-2247 | 2020-10-06 |
| 1518575125 | Jofef Companion Care Inc | Adult Companion | 10522 Jamaica Ave, Richmond Hill, NY 11418-2013 | 2020-07-20 |
| 1336762517 | Ellmak Inc | Adult Companion | 1889 Randall Ave, Bronx, NY 10473-2933 | 2020-05-22 |
| 1528680147 | Angel Rose Care Services, Inc. | Adult Companion | 129 Moore Ave, Freeport, NY 11520-1418 | 2020-05-18 |
| 1720613920 | Kovette Thorpe | Adult Companion | 22 Montgomery St Apt 10d, Poughkeepsie, NY 12601-4021 | 2020-03-08 |
| 1659902252 | Rose Kadosh | Adult Companion | 8210 19th Ave Apt B3, Brooklyn, NY 11214-2329 | 2020-02-01 |
| 1316577984 | Shanalee Henry Gordon | Adult Companion | 205 South Ave Ste 108, Poughkeepsie, NY 12601-4823 | 2020-01-22 |
| 1215567482 | Jason Debenedictis | Adult Companion | 23 Singingwood Dr, Holbrook, NY 11741-2818 | 2020-01-16 |
| 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.