"LASTNAME","FIRSTNAME","MIDNAME","BUSNAME","GENERAL","SPECIALTY","UPIN","NPI","DOB","ADDRESS","CITY","STATE","ZIP","EXCLTYPE","EXCLDATE","REINDATE","WAIVERDATE","WVRSTATE"
,," ","HANNAYA HEALTH CARE, INC","OTHER BUSINESS","HOME HEALTH AGENCY",,"0000000000",,"2110 NICOLLET AVE, SUITE 206","MINNEAPOLIS","MN","55404","1128a1","20160818","00000000","00000000",
"ABDI","HASSAN","A ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19760312","5234 COLUMBINE COURT","COLUMBUS","OH","43230","1128a1","20160818","00000000","00000000",
"ABDI","LIBAN"," ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19780905","5234 COLUMBINE COURT","COLUMBUS","OH","43230","1128a1","20160818","00000000","00000000",
"ACEDILLO","MARIA","CHRISTINA ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19720905","1825 POGGI ST, 104-A","ALAMEDA","CA","94501","1128b4","20160818","00000000","00000000",
"AHMED","FARID"," ",,"EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY",,"0000000000","19781206","P O BOX 630, #48445-039","WINTON","NC","27986","1128a1","20160818","00000000","00000000",
"AHMED","MUHAMMAD","K ",,"DOCTOR(MD, DO)","GENERAL PRACTICE",,"1215187406","19471104","5906 WILLOW RIDGE DRIVE","YPSILANTI","MI","48197","1128a4","20160818","00000000","00000000",
"AJRAWAT","PARAMJIT","SINGH ",,"DOCTOR(MD, DO)","PAIN MANAGEMENT","B94397","1295809358","19540103","P O BOX 1000, #58028-037","MORGANTOWN","WV","26507","1128a1","20160818","00000000","00000000",
"ALLEN","CHARLES"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19600513","P O BOX 90541","LOS ANGELES","CA","90009","1128b4","20160818","00000000","00000000",
"AMBARTSUMYAN","SEDA"," ",,"INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY",,"0000000000","19330717","518 E CYPRESS STREET, APT 28","GLENDALE","CA","91205","1128a1","20160818","00000000","00000000",
"ARMSTRONG","CLARE"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19660630","1267 MOUNT VERNON RD","NEWARK","OH","43055","1128a3","20160818","00000000","00000000",
"BAKARE","SANDRA","ROCHELL ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19710704","7748 EMERSON AVE, N","MINNEAPOLIS","MN","55444","1128a1","20160818","00000000","00000000",
"BARTLETT","CHASTITY","L ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19780429","69 CLUB ROAD","PLATTSBURGH","NY","12903","1128b4","20160818","00000000","00000000",
"BASTIEN","JANET","LYNN ",,"IND- LIC HC SERV PRO","TECHNICIAN",,"0000000000","19670825","1518 STEWART ROAD","MONROE","MI","48162","1128b4","20160818","00000000","00000000",
"BEREZIN","SERGEI"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19711105","1645 SW 4TH AVENUE","BOCA RATON","FL","33432","1128a1","20160818","00000000","00000000",
"BEY","ZAKIYYAH","H ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19730219","27850 LAKE SHORE BLVD, APT A21","EUCLID","OH","44132","1128a1","20160818","00000000","00000000",
"BING","BARBARA"," ",,"EMPLOYEE - PRIVATE S","CLINIC",,"0000000000","19800914","GLEN RAY ROAD, BOX A, #84967-0","ALDERSON","WV","24910","1128a1","20160818","00000000","00000000",
"BITTERLING","ANTHONY"," ",,"EMPLOYEE - PRIVATE S","AMBULANCE COMPANY",,"0000000000","19730403","4200 BUREAU ROAD N , #12544-02","TERRE HAUTE","IN","47808","1128a1","20160818","00000000","00000000",
"BITTINGER","CATHI","JO ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19690717","743 WILLOWBANK STREET, APT B","BELLEFONTE","PA","16823","1128a4","20160818","00000000","00000000",
"BLANCHARD","KIMBERLY","S ",,"IND- LIC HC SERV PRO","PHARMACY TECHNICIAN",,"0000000000","19711127","2374 VT ROUTE 14","WILLIAMSTOWN","VT","05679","1128b4","20160818","00000000","00000000",
"BLEDSOE","DAVID","VAUGHN ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19610701","P O BOX 628, HIGHWAY 231","LAKE BUTLER","FL","32054","1128a1","20160818","00000000","00000000",
"BLEDSOE","KAREN","CARLSON ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19631203","855 S IOWA AVENUE","GROVELAND","FL","34736","1128a1","20160818","00000000","00000000",
"BODENSTAB","LEVI","DOUGLAS ",,"INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID",,"0000000000","19850727","222 GARDENIA DR NORTH","SALEM","OR","97303","1128a1","20160818","00000000","00000000",
"BONHAM","KRISTIN","MARIE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19840427","308 E 1ST STREET","CLAREMORE","OK","74017","1128b4","20160818","00000000","00000000",
"BOYLAN","CHRISTINE","T ",,"IND- LIC HC SERV PRO","THERAPIST",,"0000000000","19641202","9 SACHEM DRIVE","MASTIC","NY","11950","1128a2","20160818","00000000","00000000",
"BRATCHER","BRANDON"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19800305","2179 BEDA ROAD","HARTFORD","KY","42347","1128b4","20160818","00000000","00000000",
"BREWER","ANDREW","D ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19841029","3012 BAINBRIDGE CIRCLE","LAWRENCE","KS","66049","1128a1","20160818","00000000","00000000",
"BROY","SHARON","F ",,"IND- LIC HC SERV PRO","SOCIAL WORKER",,"1265460976","19550314","3812 SEQUOIA AVENUE","BALTIMORE","MD","21215","1128a1","20160818","00000000","00000000",
"BRUE","VESTA"," ",,"OWNER/EXEC-GOVT GRAN","NIH",,"0000000000","19451102","P O BOX 27137, FMC CARSWELL","FORT WORTH","TX","76127","1128a1","20160818","00000000","00000000",
"BURT","NICOLE","M ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19840309","168 CARTER AVENUE, APT 1","PAWTUCKET","RI","02861","1128b4","20160818","00000000","00000000",
"BURT","STEVEN","CHANDLER ",,"IND- LIC HC SERV PRO","PHARMACY TECHNICIAN",,"0000000000","19890422","345 EAST 1050 SOUTH","PAYSON","UT","84651","1128b4","20160818","00000000","00000000",
"CALDERON-MILLIGROCK","EVELYN","STA MARIA ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19670702","3520 CHERRY STREET","ANCHORAGE","CA","99504","1128a1","20160818","00000000","00000000",
"CALDWELL","RACHEL","LEAH ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19770131","1000 BLUE STONE CIRCLE, APT 61","MABANK","TX","75147","1128b4","20160818","00000000","00000000",
"CANAVAN","MICHELLE"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19730713","30 PLEASANTVIEW HOMES","BEAVER FALLS","PA","15010","1128b4","20160818","00000000","00000000",
"CANIS","SHERRY","A ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19640905","365 TOWN FARM ROAD","PASCOAG","RI","02859","1128b4","20160818","00000000","00000000",
"CARVER","BRANDIE","L ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19821017","601 N  DUPONT AVENUE, APT C56","MADISON","TN","37115","1128a3","20160818","00000000","00000000",
"CHADWICK","ELIZA","K ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19821014","16 SUNDERLAND WOODS RD, APT 4","COLCHESTER","VT","05446","1128b4","20160818","00000000","00000000",
"CHAR","GAYLENE","RAE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19531029","1664 KEARNEY AVENUE","SIMI VALLEY","CA","93065","1128a2","20160818","00000000","00000000",
"CHUNG","KANG-YOUNG"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19730314","P O DRAWER 55030, #85937-053","MCRAE HELENA","GA","31055","1128a1","20160818","00000000","00000000",
"CLAYTON","LORENZO"," ",,"EMPLOYEE - PRIVATE S","HOSPITAL",,"0000000000","19910607","2821 19TH STREET","MERIDIAN","MS","39301","1128a2","20160818","00000000","00000000",
"COBB","JASON","ALAN ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19871208","130 LOCUST STREET","DANIELS","WV","25832","1128a2","20160818","00000000","00000000",
"COLLINS","NANCY","JAYNE ",,"INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY",,"0000000000","19610813","404 W 5TH STREET","CHANUTE","KS","66720","1128a1","20160818","00000000","00000000",
"COLLINS","PATRICIA","ELAINE ",,"INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID",,"0000000000","19641120","12450 BRUCEVILLE RD","ELK GROVE","CA","95757","1128a1","20160818","00000000","00000000",
"COLVIN","JULIE","ANNE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19830823","1589 NORTH 200 EAST","LAYTON","UT","84041","1128b4","20160818","00000000","00000000",
"COOPER","NADINE"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19840417","105 DIMINISH DRIVE","NEWARK","DE","19713","1128a2","20160818","00000000","00000000",
"COUSIN","BEVERLY"," ",,"INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID",,"0000000000","19471126","27 MOUNT VERNON ST, APT 515","WORCESTER","MA","01605","1128a1","20160818","00000000","00000000",
"COUSIN","RASHAD","F ",,"INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID",,"0000000000","19820817","5311 BLUE SPRUCE DRIVE","PUEBLO","CO","81005","1128a1","20160818","00000000","00000000",
"COVER","NANCI","J ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19630509","6615 KENNERDOWN STREET","COLUMBUS","OH","43229","1128b4","20160818","00000000","00000000",
"CRANFORD","HOLLY","PARHAM ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19801210","1043 DREW DR","GARNER","NC","27529","1128b4","20160818","00000000","00000000",
"CREEDMORE","ADRIENNE","ALEXIS ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19830510","1501 N ELM ST","LUMBERTON","NC","28358","1128b4","20160818","00000000","00000000",
"CROFT","MARK","P ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"1336481324","19720724","37 ELM STREET","WEST BOYLSTON","MA","01583","1128b4","20160818","00000000","00000000",
"CUTSFORTH","REBECCA","RAE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19820517","1326 SUNFIELD STREET, APT 1","SUN PRAIRIE","WI","53590","1128a3","20160818","00000000","00000000",
"DAVIS","CASSIE","LEE ",,"INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY",,"0000000000","19670604","1815 HENRY AVENUE","WINCHESTER","VA","22601","1128a1","20160818","00000000","00000000",
"DAVIS","MICHELLE","NICOLE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19870911","4808 WATERFORD KNOLL DR, APT 6","CHARLOTTE","NC","28226","1128b4","20160818","00000000","00000000",
"DE LEON","LEONIDA","E ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19540411","6050 LONGORIA CIRCLE","ANCHORAGE","AK","99504","1128a1","20160818","00000000","00000000",
"DEL SOL FERNANDEZ","ASLEY"," ",,"BUS OWNER/EXEC","PHARMACY",,"0000000000","19800926","P O BOX 699","ESTILL","SC","29918","1128a1","20160818","00000000","00000000",
"DELGADO","GABRIEL"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19720627","2680 301 SOUTH","JESUP","GA","31599","1128a1","20160818","00000000","00000000",
"DIAMOND","CARLY","MICHELLE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19840316","869 SHANNON ROAD","GIRARD","OH","44420","1128b4","20160818","00000000","00000000",
"DIAZ","SHEYLA"," ",,"INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER",,"0000000000","19800225","P O BOX 1032","COLEMAN","FL","33521","1128a1","20160818","00000000","00000000",
"DIETSCH","BRADLEY","AARON ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19770426","2363 CHAPEL RIDGE PL, APT 11A","SALINA","KS","67401","1128a1","20160818","00000000","00000000",
"DIXON","MONICA","CHRISTA ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19670625","302 W ONEIDA STREET, APT 1","PORTAGE","WI","53901","1128b4","20160818","00000000","00000000",
"DOBBINS","CLAIRE","ELLEN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19581028","1430 S 83RD EAST AVENUE","TULSA","OK","74112","1128b4","20160818","00000000","00000000",
"DORSEY","SHIRLEY"," ",,"EMPLOYEE - PRIVATE S","MENTAL HEALTH FAC",,"0000000000","19860129","2023 GAINESVILLE HWY","ALTO","GA","30510","1128a1","20160818","00000000","00000000",
"DOUGLASS","MICHELLE","A ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19660222","6 LAURA LANE","NORTON","MA","02766","1128b4","20160818","00000000","00000000",
"DUMAS","TATIA"," ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19690402","1541 ELBRIDGE STREET, #2","PHILADELPHIA","PA","19149","1128a1","20160818","00000000","00000000",
"DUNCAN","AMY","LYNN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19711026","2877 MOUNT TABOR ROAD","WEST LIBERTY","OH","43357","1128b4","20160818","00000000","00000000",
"DURHAM","CHERYL"," ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"1467667709","19580807","198 FAIRWAY DRIVE","COLUMBUS","OH","43214","1128a1","20160818","00000000","00000000",
"EDDY","JESSICA","L ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19790514","1416 ROBINWOOD DRIVE","HEBER SPRINGS","AR","72543","1128a1","20160818","00000000","00000000",
"EDWARDS","CAROL"," ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19670812","148 BLAINE DRIVE","WEST UNION","OH","45693","1128a1","20160818","00000000","00000000",
"EHRLICH","MELVIN","A ",,"IND- LIC HC SERV PRO","DENTIST",,"1346352531","19601011","223 WALNUT STREET","FRAMINGHAM","MA","01702","1128b4","20160818","00000000","00000000",
"ELLIS","JENNIFER"," ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19590511","7364 SUSSEX STREET","BATON ROUGE","LA","70807","1128a1","20160818","00000000","00000000",
"ELLIS","LAURA","THERESA ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000",,"419 SHAWMONT AVENUE, APT B","PHILADELPHIA","PA","19128","1128b4","20160818","00000000","00000000",
"ENGORN","JENNIFER","ASHLEE ",,"IND- LIC HC SERV PRO","SOCIAL WORKER",,"0000000000","19871129","6709 MAUREEN ROAD","BALTIMORE","MD","21209","1128a1","20160818","00000000","00000000",
"ESPINOZA","MIRNA","LIZZETTE ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19670513","127 N NORMANDIE AVE, #415","LOS ANGELES","CA","90004","1128a1","20160818","00000000","00000000",
"ESPONDA","TAMARA"," ",,"BUS OWNER/EXEC","PHARMACY",,"0000000000","19671021","P O BOX 019120","MIAMI","FL","33101","1128a1","20160818","00000000","00000000",
"FIELDING","DAVID","F ",,"BUS OWNER/EXEC","NURSING FIRM",,"0000000000","19570418","354 EAST MARKET STREET","LONG BEACH","NY","11561","1128a2","20160818","00000000","00000000",
"FIELDS","ABDUL","LANGSTON ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19821005","1974 N 2ND STREET","KANSAS CITY","KS","66101","1128a1","20160818","00000000","00000000",
"FINKLEA","RYAN","F ",,"EMPLOYEE - PRIVATE S","INTER CARE FACILITY",,"0000000000","19500103","212 E RICE STREET","LATTA","SC","29565","1128a1","20160818","00000000","00000000",
"FLAGG","MELKEISHA","LEANNE ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19830119","1014 GREEN STREET","NORRISTOWN","PA","19401","1128a1","20160818","00000000","00000000",
"FORTE","JENNIFER","M ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19780722","202 ELM STREET","STRUTHERS","OH","44471","1128b4","20160818","00000000","00000000",
"FRALEY","MELISSA","MARIE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19810916","4194 WELLER DRIVE","BELLBROOK","OH","45305","1128b4","20160818","00000000","00000000",
"FREEMAN","KEVIN","LAVELT ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19650315","P O BOX 5000, #16959-084","BRUCETON MILLS","WV","26525","1128a1","20160818","00000000","00000000",
"FRENCH","ANGELA","MARIE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19780917","1516 SENECA STREET","MADISON","OH","44057","1128b4","20160818","00000000","00000000",
"FURELOS","RAMON","ENRIQUE LAZARO ",,"BUS OWNER/EXEC","DME - DIABETIC SUPPL",,"1861815797","19791205","P O BOX 350, #59134-056","BEAVER","WV","25813","1128a1","20160818","00000000","00000000",
"GALES","DONNELL"," ",,"INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY",,"0000000000","19681209","268 SOUTH ALDEN STREET","PHILADELPHIA","PA","19139","1128a1","20160818","00000000","00000000",
"GARCIA","ROBERT","PATRICK ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19751023","7090 NORTHEAST 41ST STREET","MIAMI","FL","33166","1128a1","20160818","00000000","00000000",
"GARNER","CYNTHIA","RENE ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19591016","4052 KARLING PLACE","PALMDALE","CA","93552","1128a1","20160818","00000000","00000000",
"GERALT","JOHN","A ",,"DOCTOR(MD, DO)","GENERAL PRACTICE",,"1972839447","19280412","P O BOX 10, #48286-039","LISBON","OH","44432","1128a4","20160818","00000000","00000000",
"GEWANTER","SARAH"," ",,"BUS OWNER/EXEC","MENTAL HEALTH FAC",,"1164451068","19520705","690 BOYD ROAD","LEICESTER","NC","28748","1128a1","20160818","00000000","00000000",
"GILLESPIE","CARRIE","ROBIN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19710324","2521 S 70TH STREET","FORT SMITH","AR","72903","1128b4","20160818","00000000","00000000",
"GOLDEN","GARY","W ",,"IND- LIC HC SERV PRO","OPTOMETRY","H49399","1659341543","19580319","1123 ESTES COURT","NAPERVILLE","IL","60540","1128b4","20160818","00000000","00000000",
"GOLDSMITH","STACY","KRISTIN ",,"EMPLOYEE - PRIVATE S","MENTAL HEALTH FAC",,"0000000000","19840202","2505 CURTIS CT, APT H","SANTA MARIA","CA","93455","1128a1","20160818","00000000","00000000",
"GORDON","STEPHANIE","MARIE ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19900316","709 OLD MILITARY RD, S, APT 20","SANDSTONE","MN","55072","1128a1","20160818","00000000","00000000",
"GOSLIN","NEIL","R ",,"IND- LIC HC SERV PRO","COUNSELOR",,"1205172475","19700421","2673 EAST 1520 SOUTH","SPANISH FORK","UT","84660","1128b4","20160818","00000000","00000000",
"GOUGH","AUSTIN","D ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19941228","4673 S 100 W","FOUNTAINTOWN","IN","46130","1128a2","20160818","00000000","00000000",
"GRAY","JESSICA","LEE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19840910","3669 OLD FRANKLINTON RD","FRANKLINTON","NC","27525","1128b4","20160818","00000000","00000000",
"GREENE","JASON","C ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19780213","925 WEST OLIVE STREET","BLOOMINGTON","IL","61701","1128a1","20160818","00000000","00000000",
"GRIFFIN","ALLECYN","COOK ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19800315","147 FRESHFIELD DR","HUDSON","NC","28638","1128b4","20160818","00000000","00000000",
"GUERRA","BARBARA"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19691120","3880 SE 89TH COURT","MIAMI","FL","33165","1128a1","20160818","00000000","00000000",
"GUY","DEBBIE","L ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19640906","101F LAKEVIEW TERRACE","MONTGOMERY","TX","77356","1128b4","20160818","00000000","00000000",
"HALE","SCINECIA"," ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19800831","287 AVONDALE AVENUE","COLUMBUS","OH","43223","1128a1","20160818","00000000","00000000",
"HALPERIN","DAVID"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19850711","367 E SOUTH STREET","WILKES BARRE","PA","18702","1128a3","20160818","00000000","00000000",
"HAMILTON-JANSSEN","KRISTY"," ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19721106","116 N 4TH STREET","MADISON","KS","66860","1128a1","20160818","00000000","00000000",
"HANKS","SONJA","MARION ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19720305","P O BOX 41","BIGGSVILLE","IL","61418","1128a3","20160818","00000000","00000000",
"HANSON","FAITH","LYNN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19960112","1324 8TH AVE NE, #6","ABERDEEN","SD","57401","1128a2","20160818","00000000","00000000",
"HARDIN","MICHAEL","HOWARD ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19681021","225 THOMAS STREET","FRANKFORT","KY","40601","1128b4","20160818","00000000","00000000",
"HARDWICK","SARAH","B SCEARCE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19731119","3909 CASTLEWOOD COURT","SOMERSET","KY","42503","1128b4","20160818","00000000","00000000",
"HARKER","LORRAINE","KATHLEEN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19701208","2229 E WINDSOR AVENUE","PHOENIX","AZ","85006","1128b4","20160818","00000000","00000000",
"HARWELL","BRIGHAM","DANIEL ",,"IND- LIC HC SERV PRO","THERAPIST",,"0000000000","19871023","HC 63 BOX 1","HANNA","UT","84031","1128b4","20160818","00000000","00000000",
"HEFFNER","STEPHEN"," JR",,"INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY",,"0000000000","19690610","201 PATTISON AVE EXIT, APT 4B","ELKLAND","PA","16920","1128a1","20160818","00000000","00000000",
"HELTON","DOUGLAS","L ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19611214","3330 YVONNE DRIVE","STEVENS POINT","WI","54481","1128a2","20160818","00000000","00000000",
"HENDRICKS","JOSHUA"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19891125","348 W 2ND STREET","RICHLAND CENTER","WI","53581","1128a2","20160818","00000000","00000000",
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"MUNOZ","RICHELLE"," ",,"IND- LIC HC SERV PRO","PHYSICAL THERAPY",,"1689986945","19760424","P O BOX 329002, #85938-053","BROOKLYN","NY","11232","1128a1","20160818","00000000","00000000",
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"O'REILLY","ANGELA","M ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19740920","990 NORTON AVENUE, APT 1","TAUNTON","MA","02780","1128b4","20160818","00000000","00000000",
"ORMOND","LYNDSEY","MARIE ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19880425","101 GRANT WAY","KYLE","TX","78640","1128a1","20160818","00000000","00000000",
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"PATEL","KALPANA","KALPESHKUMAR ",,"BUS OWNER/EXEC","PHARMACY",,"0000000000","19611114","5111 VISTA RICA COURT","BAKERSFIELD","CA","93311","1128a1","20160818","00000000","00000000",
"PATTERSON","JAMIE","L ",,"IND- LIC HC SERV PRO","LICENSED PRACTITIONE",,"0000000000","19800912","2681 SOUTH BEVERLY STREET","SALT LAKE CITY","UT","84106","1128b4","20160818","00000000","00000000",
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"PEARCE","ELIZABETH","ANN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19570815","412 HAWTHORNE AVENUE","WILLIAMSPORT","PA","17701","1128b4","20160818","00000000","00000000",
"PENA","GRISEL"," ",,"EMPLOYEE - PRIVATE S","ADULT HOME",,"0000000000","19510705","232  SW TYLER STREET","TOPEKA","KS","66603","1128a1","20160818","00000000","00000000",
"PEREZ","SUSANA"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19731218","12135 EL GRECO CIRCLE","EL PASO","TX","79936","1128b4","20160818","00000000","00000000",
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"PHILAVANH","SOUKHATO","KITHO ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19740620","333 E GRAND AVE UNIT 113","DES MOINES","IA","50309","1128a1","20160818","00000000","00000000",
"PHILLIPS","LISA","HAWKINS ",,"IND- LIC HC SERV PRO","THERAPIST",,"0000000000","19660624","3661 GLEN APLINE ROAD","KINGSPORT","TN","37660","1128a1","20160818","00000000","00000000",
"PITTS","AUDRA","J ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19721001","4924 VT ROUTE 14","NEWPORT","VT","05855","1128b4","20160818","00000000","00000000",
"PRAK","MALENDA"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19850817","5894 PARLIAMENT DRIVE","COLUMBUS","OH","43213","1128a1","20160818","00000000","00000000",
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"ROSS","MICHAEL","WAYNE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19790716","135 SOUTH 2875 WEST","CEDAR CITY","UT","84720","1128b4","20160818","00000000","00000000",
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"SHAULIS","AMANDA","MARIE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19840312","3397 LEWIS SEIFERT ROAD","HUBBARD","OH","44425","1128b4","20160818","00000000","00000000",
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"SKEEN","AMBER","LEIGH ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19750213","601 S PARK STREET","CRESTON","IA","50801","1128a3","20160818","00000000","00000000",
"SKRENES","THOMAS"," ",,"IND- LIC HC SERV PRO","CHIROPRACTIC",,"1386081479","19530809","1254 IRVINE BLVD, APT 10","TUSTIN","CA","92780","1128b4","20160818","00000000","00000000",
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"SMALLEY","PHILLIP","RAY ",,"EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI",,"0000000000","19650825","P O BOX 70010","BOISE","ID","83707","1128a2","20160818","00000000","00000000",
"SMITH","CLAUDINE","N ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19741015","16415 SPRNG HILL DRIVE","BROOKSVILLE","FL","34604","1128a3   ","20160818","00000000","00000000",
"SOQUENO","MILAGROS","VICTORIA ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19730908","331 1ST STREET, APT E111","SEAL BEACH","CA","90740","1128a2","20160818","00000000","00000000",
"STEWART","DAVID","SHEPHERD ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19530712","7019 AUTUMN CHASE","FORT WAYNE","IN","46818","1128b4","20160818","00000000","00000000",
"STOTT","MARIANNE"," ",,"IND- LIC HC SERV PRO","PHARMACY TECHNICIAN",,"0000000000","19860616","3828 WEST OWENSBORO DR","WEST JORDAN","UT","84084","1128b4","20160818","00000000","00000000",
"SUH","JEFFREY"," ",,"IND- LIC HC SERV PRO","ACUPUNCTURIST",,"1336523497","19591019","P O BOX 2000, #85935-053","JOINT BASE MDL","NJ","08640","1128a1","20160818","00000000","00000000",
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"TAPIA","ROSA"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19950328","1106 N ALVORD ST","RIDGECREST","CA","93555","1128b4","20160818","00000000","00000000",
"TAYLOR","CINDY","ANN ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19830902","600 LINDBERGH DR, NW, TRLR E3","LITTLE FALLS","MN","56345","1128a1","20160818","00000000","00000000",
"TAYLOR","QUINTELLA","CERILLA ",,"EMPLOYEE - PRIVATE S","ADULT HOME",,"0000000000","19860513","407 COVERT STREET","FT WALTON BEACH","FL","32547","1128a2","20160818","00000000","00000000",
"TEVIS","SHARON","A ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19580815","9413 LA GRANGE ROAD, APT 4","LOUISVILLE","KY","40242","1128b4","20160818","00000000","00000000",
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"THIMSEN","ERIC","S ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19830924","400 N MICHIGAN AVENUE","BELLEVILLE","IL","62221","1128a1","20160818","00000000","00000000",
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"TIMMONS","VINNIE"," ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19590525","2739 S CLASSEN STREET","WICHITA","KS","67216","1128a1","20160818","00000000","00000000",
"TINDALL","STEPHANIE"," ",,"BUS OWNER/EXEC","HOME HEALTH AGENCY",,"0000000000","19761126","350 SW 3RD STREET","OTTER CREEK","FL","32683","1128a1","20160818","00000000","00000000",
"TIPTON","JENNIFER","LYNN ALLEN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19750207","1309 KIPER DRIVE","LEITCHFIELD","KY","42754","1128b4","20160818","00000000","00000000",
"TOLBERT","TRACI","DAWN ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19750316","1495 W PALMER ROAD","SULPHUR","OK","73086","1128b4","20160818","00000000","00000000",
"TOREM","JOANNE"," ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19710430","194 LEXINGTON AVENUE, #2","CRANSTON","RI","02910","1128b4","20160818","00000000","00000000",
"TRAVIS","SHERA","ANTIONETTE ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19851106","547 W  IVESBROOK AVE, APT 2013","LANCASTER","CA","93534","1128a1","20160818","00000000","00000000",
"UMOH","SUNDAY","FRANKSON ",,"EMPLOYEE - PRIVATE S","DME - GENERAL",,"1407925076","19581010","6507 GARDEN TRAIL COURT","HOUSTON","TX","77072","1128a1","20160818","00000000","00000000",
"USTAKOVA","LYUDMILA"," ",,"INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION",,"0000000000","19690111","1645 SW 4TH AVENUE","BOCA RATON","FL","33422","1128a1","20160818","00000000","00000000",
"UZOAGA","ENYIBUAKU","RITA ",,"DOCTOR(MD, DO)","FAMILY PRACTICE","I26811","1245246925","19720926","P O BOX 2149, #62124-379","BRYAN","TX","77805","1128a1","20160818","00000000","00000000",
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"VIRGEN","LYDIA","ANGELICA ",,"INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID",,"0000000000","19610924","5307 CABRILLO WAY","SACRAMENTO","CA","95820","1128a1","20160818","00000000","00000000",
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"WAIT","DAVID"," ",,"DOCTOR(MD, DO)","INTERNAL MEDICINE",,"1528051307","19590702","500 E FOURTH STREET, #MK0370","CHESTER","PA","19013","1128a4","20160818","00000000","00000000",
"WALKER","TIFFANY","CARMELL ",,"INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER",,"0000000000","19670620","800 DICKERSON STREET","DETROIT","MI","48215","1128a4","20160818","00000000","00000000",
"WARE","CHASITY","ANN ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19850912","BOX 11C","LEWISBURG","WV","24901","1128a1","20160818","00000000","00000000",
"WATTS","JOHN"," ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19681022","320 SOUTH 15TH STREET","HARRISBURG","PA","17104","1128a1","20160818","00000000","00000000",
"WENGER","SUZETTE","MARIE ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19740706","31788 FOREST BLVD, 1","STACY","MN","55079","1128a1","20160818","00000000","00000000",
"WHEELER","CARISSA","MARIE ",,"IND- LIC HC SERV PRO","NURSE/NURSES AIDE",,"0000000000","19761109","1733 E FLINTLOCK WAY","CHANDLER","AZ","85286","1128b4","20160818","00000000","00000000",
"WHITE","CULLY","RICHARD ",,"DOCTOR(MD, DO)","NEUROLOGY","G39092","1013093178","19680610","W278N277 ROCKY POINT RD","DEWAUKEE","WI","53072","1128a3","20160818","00000000","00000000",
"WHITE","D' MARCUS","ANTONIO ",,"EMPLOYEE - PRIVATE S","MENTAL HEALTH FAC",,"0000000000","19900331","501 E BUCHANAN ST","BATON ROUGE","LA","70802","1128a1","20160818","00000000","00000000",
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"WILLIAMS","TANYA"," ",,"IND- LIC HC SERV PRO","HEALTH CARE AIDE",,"0000000000","19910218","3800 NORTHWOODS CT, NE, UNIT 5","WARREN","OH","44483","1128a1","20160818","00000000","00000000",
"WILSON","GINGER","LEANNE ",,"EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID",,"0000000000","19681010","17101 LYON RD APT 221A","PARSONS","KS","67357","1128a1","20160818","00000000","00000000",
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