CHILDREN'S ACCELERATION PROGRAM, INC. (NPI# 1912032830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912032830 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S ACCELERATION PROGRAM, INC. |
| Practice Address |
216 N Chrisman Ave Cleveland MS 38732-2730 |
| Mailing Address |
Po Box 1382 Cleveland MS 38732-1382 |
| Practice Telephone | 6628466306 |
| Practice Fax Number | 6628469069 |
| Mailing Telephone | 6628466306 |
| Mailing Fax Number | 6628469069 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DORIS MITCHELL (DIRECTOR) |
| Authorized Official Telephone | 6628466306 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R125740 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00009266 | 05 |
| Street Address |
216 N CHRISMAN AVE |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932270972 | Word of Deliverance Hospice Inc | Hospice Care, Community Based | 216 N Chrisman Ave, Cleveland, MS 38732-2730 | 2006-11-13 |
| 1801230404 | Family Home Care Agency | In Home Supportive Care | 216 N Chrisman Ave, Cleveland, MS 38732 | 2013-04-25 |
| 1528401643 | Word of Deliverance Divine Care Inc | Respite Care | 216 N Chrisman Ave, Cleveland, MS 38732-2730 | 2013-04-08 |
| 1740331834 | Doris Mitchell | Nurse Practitioner | 216 N Chrisman Ave, Cleveland, MS 38732-2730 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1093224883 | Christina Lea Graham | Nurse Practitioner | 2626 Peerless Rd Nw, Cleveland, TN 37312-3732 | 2017-09-25 |
| 1720287105 | Courtney B Holzheimer | Nurse Practitioner | 6511 Fleet Ave, Cleveland, OH 44105-3416 | 2007-07-16 |
| 1386737054 | Julie P Walker | Nurse Practitioner | 435 25th Street, Cleveland, TN 37311 | 2006-10-02 |
| 1982636452 | Christine E Starck | Nurse Practitioner | 16000 Pearl Rd # 309, Metrohealth Strongsville Medical Group, Cleveland, OH 44136-6082 | 2006-07-07 |
| 1720615156 | Ashley Hart | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-25 |
| 1467094979 | Hannah Marie Mukherjee | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-10-16 |
| 1730732652 | Julianne Lynn Janosko | Nurse Practitioner | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2019-07-19 |
| 1598317612 | Meredith Lynn Tomasko | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-07-09 |
| 1669941845 | Allison Cohen | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2018-11-18 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on CHILDREN'S ACCELERATION PROGRAM, INC..
| 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.