MEDICARE: HARRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912532722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS

Provider Business Mailing Address
First Line	:	16000 SHIRLEY AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-4617
Country	:	US
Telephone Number	:	216-704-4813
Fax Number	:

Provider Business Practice Location Address
First Line	:	1013 ROCKSIDE RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-2700
Country	:	US
Telephone Number	:	216-704-4813
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATASHA HARRIS
Credential	:
Telephone Number	:	216-704-4813

Provider Enumeration Date	:	03/12/2020
Last Update Date	:	03/12/2020

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Directions to “HARRIS ” Practice Location

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