Individual ProviderTasheeba MongeonLicensed Practical NurseNursing Service ProvidersPractice Address206 Vinal Ave, Rochester, NY 14609-1228(585) 285-5052PECOS EnrollmentBased on the most recent information from CMS, provider Tasheeba Mongeon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1649938150Provider TypeIndividualFull NameMongeon, TasheebaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date12/1/2021Last Updated12/1/2021Contact InformationPractice LocationPractice Address206 Vinal Ave, Rochester, NY 14609-1228Phone(585) 285-5052FaxUnlisted FaxMailing LocationMailing Address206 Vinal Ave, Rochester, NY 14609-1228Phone(585) 285-5052FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense342682New York