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MRS. NATHALIA WHITE SHANETTA WHITE HEALTHCARE PROVIDER NPI 1700373966


NPI Information

NPI: 1700373966
Provider Name: MRS. NATHALIA WHITE SHANETTA WHITE, HEALTHCARE PROVIDER
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Individual
Address:
240 W GALVESTON ST UNIT 417
LEAGUE CITY, TX
ZIP 77574
Phone: (281) 787-2881
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MRS. Nathalia White Shanetta White, HEALTHCARE PROVIDER is a program of all inclusive care for the elderly pace provider organization in League City, TX. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. MRS. Nathalia White Shanetta White, HEALTHCARE PROVIDER NPI is 1700373966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

240 W GALVESTON ST UNIT 417
LEAGUE CITY, TX
ZIP 77574-849
Phone: (281) 787-2881

The enumeration date for this NPI number is 4/13/2018 and was last updated on 4/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1825132507MEDICAIDTEXAS
282-5132507MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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