JACLENE MARIE ROSALES (NPI# 1912551375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912551375 |
| Entity Type | Individual |
| Full Name | JACLENE MARIE ROSALES |
| Practice Address |
8414 John Dower Rd Sw Unit 12 Lakewood WA 98499-2574 |
| Mailing Address |
20034 Otoole Rd Se Yelm WA 98597-9046 |
| Practice Telephone | 4197019284 |
| Mailing Telephone | 3608941493 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS (DEPARTMENT OF SOCIAL & HEALTH SERVICES) | 212292901 | 01 |
| Street Address |
8414 JOHN DOWER RD SW UNIT 12 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| 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 |
|---|---|---|---|---|
| 1750901864 | Kyle Donovan Oswalt | Home Health Aide | 8101 83rd Ave Sw Apt A1, Lakewood, WA 98498-6064 | 2020-04-17 |
| 1295392710 | Rekha Eugenio | Home Health Aide | 7413 Coral Ln Sw, Lakewood, WA 98498-5046 | 2019-05-20 |
| 1134686405 | Ralph Hannum | Home Health Aide | 1286 Lakeland Ave, Lakewood, OH 44107-2425 | 2019-02-22 |
| 1700321379 | Randy Strand | Home Health Aide | 6423 94th St Sw, Lakewood, WA 98499-1505 | 2017-01-05 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1265842074 | Victor M Rosario | Home Health Aide | 14567 Madison Ave Apt 103, Lakewood, OH 44107-4337 | 2014-05-01 |
| 1942694989 | Timothy Carney | Home Health Aide | 1970 Swarthmore Ave, Suite 2, Lakewood, NJ 08701-4553 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1477168201 | Michael Lacy | Home Health Aide | 2542 Bodie Mountain Rd, Colville, WA 99114-9663 | 2020-09-09 |
| 1053936112 | Aleesha J Denton | Home Health Aide | 95 33rd St Nw, Wenatchee, WA 98802-9547 | 2020-06-14 |
| 1932723665 | In-home Care, Northern Suburbs, LLC | Home Health Aide | 6405 218th St Sw Ste 308, Mountlake Terrace, WA 98043-2180 | 2020-05-28 |
| 1376164343 | Patricia King | Home Health Aide | 407 Valley Ave Ne Apt W203, Puyallup, WA 98372-6949 | 2020-04-30 |
| 1801416797 | Jamel A Ervin | Home Health Aide | 29109 47th Ave S, Auburn, WA 98001-2860 | 2020-04-21 |
| 1487286084 | Clifford G Classen | Home Health Aide | 11214 47th Ave Se, Everett, WA 98208-9664 | 2020-02-11 |
| 1245870997 | Peyton Zain Maxwell | Home Health Aide | 605 Index Avenue, Index, WA 98256 | 2020-01-10 |
| 1891333282 | Gail Lee Muscato | Home Health Aide | 2698 Maplewood Dr, Longview, WA 98632-4600 | 2019-12-16 |
| 1770121691 | Angela Jacobs | Home Health Aide | 646 Joy St, Eatonville, WA 98328-7027 | 2019-12-11 |
| 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.