Healthcare Provider Details

I. General information

NPI: 1235007915
Provider Name (Legal Business Name): TI'NAJA HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 10/30/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 GLENMONT RD
CLEVELAND OH
44118-1081
US

IV. Provider business mailing address

1602 GLENMONT RD
CLEVELAND OH
44118-1081
US

V. Phone/Fax

Practice location:
  • Phone: 216-703-0263
  • Fax:
Mailing address:
  • Phone: 216-703-0263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: