MS. JEQUEENA DENESE FOREMAN (NPI# 1992120679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992120679 |
| Entity Type | Individual |
| Full Name | MS. JEQUEENA DENESE FOREMAN |
| Credential | CNA |
| Practice Address |
17 Vernon St # 200 New Haven CT 06519-1342 |
| Mailing Address |
17 Vernon St. #200 New Haven CT 06519 |
| Practice Telephone | 2039018670 |
| Practice Fax Number | 2038917854 |
| Mailing Telephone | 2039018670 |
| Mailing Fax Number | 2038917854 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | 372500000X | CT | Nursing Service Related Providers |
| N | 372600000X | Adult Companion | 372600000X | CT | Nursing Service Related Providers |
| Y | 372600000X | Adult Companion | 376K00000X | CT | Nursing Service Related Providers |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
3747A0650X | CT | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
3747P1801X | CT | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 374U00000X | CT | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | 376J00000X | CT | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 376K00000X | CT | Nursing Service Related Providers |
| Street Address |
17 VERNON ST # 200 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| 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 |
|---|---|---|---|---|
| 1700380706 | Joel Donnel Kirkland Sr. | Adult Companion | 30 Brewster St, New Haven, CT 06511-1804 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938359 | Inez Arboleda | Adult Companion | 2335 Madison Ave, Bridgeport, CT 06606-3244 | 2020-03-25 |
| 1720639438 | Jonathon Sanchez | Adult Companion | 31 High St Apt 8106, East Hartford, CT 06118-3804 | 2019-09-24 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1134697402 | Rose Derosier | Adult Companion | 892 Stillson Rd, Fairfield, CT 06824-3120 | 2018-11-05 |
| 1073088365 | Quiana Carmon | Adult Companion | 60 Virginia Dr, Meriden, CT 06450-7815 | 2018-10-12 |
| 1255837621 | Our Family Home Healthcare | Adult Companion | 330 Granfield Ave, Bridgeport, CT 06610-2305 | 2018-04-03 |
| 1003319617 | Elvina Benjamin | Adult Companion | 2600 Park Ave Unit 8w, Bridgeport, CT 06604-1321 | 2018-03-10 |
| 1487164794 | Edwin M Almonte | Adult Companion | 8 Library Pl, Bethel, CT 06801-2106 | 2017-10-02 |
| 1598281503 | Dyshai Mims | Adult Companion | 182 Hanover St, Bridgeport, CT 06604-3706 | 2017-08-21 |
| 1316479454 | Myron Dukes | Adult Companion | 955 Connecticut Ave, Ste 5305, Bridgeport, CT 06607-1224 | 2017-03-29 |
| 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.