Healthcare Provider Details

I. General information

NPI: 1124998182
Provider Name (Legal Business Name): LASHONDA LATRICE THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4272 WARNER RD APT 4
CLEVELAND OH
44105-5898
US

IV. Provider business mailing address

4272 WARNER RD APT 4
CLEVELAND OH
44105-5898
US

V. Phone/Fax

Practice location:
  • Phone: 216-224-0203
  • Fax:
Mailing address:
  • Phone: 216-224-0203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: