NICOLE HARRIS (NPI# 1992186712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992186712 |
| Entity Type | Organization |
| Organization Name | NICOLE HARRIS |
| Practice Address |
132 Willow Avenue Newark NY 14513 |
| Mailing Address |
132 Willow Aveneue Newark NY 14513 |
| Practice Telephone | 3159450474 |
| Mailing Telephone | 3159450474 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | NICOLE HARRIS (LICENSED PRACTICAL NURSE) |
| Authorized Official Telephone | 3159450474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 691244271 | NY | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NICOLE HARRIS'S POPUP BOUTIQUE, LLC | 13606 58th St Se, Snohomish, WA 98290 |
| New York State Corporations | NICOLE HARRISON INC. | 10 Fieldstone Drive, C/o Reed Cpa, Easton, Ct 06612 |
| Street Address |
132 WILLOW AVENUE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| 1215221130 | Mary Lisa Maslyn | Speech-Language Pathologist | 703 E. Maple Avenue, Newark, NY 14513 | 2011-06-08 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760513683 | Premier Health Care Inc | Nursing Facility/Intermediate Care Facility | 254 W Main St, Newark, DE 19711-3235 | 2007-03-09 |
| 1548259393 | Jeanne Jugan Residence | Nursing Facility/Intermediate Care Facility | 185 Salem Church Rd, Newark, DE 19713-2942 | 2005-10-14 |
| 1780825034 | Newark Manor Nursing Home | Nursing Facility/Intermediate Care Facility | 254 W Main St, Newark, DE 19711-3235 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1861944167 | Sabine Valme | Nursing Facility/Intermediate Care Facility | 929 E 87th St, Brooklyn, NY 11236-3908 | 2016-11-03 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1164885166 | Independent Group Home Living Program Inc | Nursing Facility/Intermediate Care Facility | 908 Melville Estates, Melville, NY 11747 | 2016-03-29 |
| 1417338005 | Hotel Benefit Funds | Nursing Facility/Intermediate Care Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-09 |
| 1245619121 | Favorite Nursing | Nursing Facility/Intermediate Care Facility | 2040 Renfrew Ave, Elmont, NY 11003-2909 | 2015-05-25 |
| 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.