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General NPI Number Information
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NPI Number | 1851966071
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Entity Type | Organization
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Legal Business Name | PATIENT-CENTERED CARE STAFFING AGENCY
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 3725 HILDANA RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-5005
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Country | US
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Telephone | 216-937-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 SOM CENTER RD # 366
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2048
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Country | US
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Telephone | 216-937-5211
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | SHAKIRAH WILSON
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Credential | BSN, RN
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Telephone | 216-937-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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