KISHA JEFFERSON (NPI# 1104352657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104352657 |
| Entity Type | Individual |
| Full Name | KISHA JEFFERSON |
| Credential | STNA |
| Practice Address |
3788 W 130th St Cleveland OH 44111-3319 |
| Practice Telephone | 2168019227 |
| Mailing Telephone | 2168019227 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 322541220114 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 322541220114 | 05 |
| Street Address |
3788 W 130TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| 1427658152 | Yahaira N/a Mason | Home Health | 5228 E Farnhurst Rd, Cleveland, OH 44124-1240 | 2020-10-30 |
| 1205435807 | Toya Homes Cares Agency LLC | Home Health | 12200 Fairhill Rd Ste C248, Cleveland, OH 44120-1058 | 2020-10-23 |
| 1245847557 | Connections In Ohio, Inc. | Home Health | 8001 Sweet Valley Dr Ste 4, Cleveland, OH 44125-4209 | 2020-09-30 |
| 1487261194 | Ann D Jones | Home Health | 12912 Harvard Ave, Cleveland, OH 44105-4756 | 2020-09-26 |
| 1750998753 | Dennis Wells Jr. | Home Health | 11709 Imperial Ave, Cleveland, OH 44120-3106 | 2020-09-24 |
| 1750996732 | Joan Richelson | Home Health | 2231 S Green Rd, Cleveland, OH 44121-3325 | 2020-09-15 |
| 1912512245 | Norwill Skilled Care | Home Health | 3100 E 45th St Ste 102, Cleveland, OH 44127-1094 | 2020-09-14 |
| 1801405550 | Dayspring Home Healthcare Company | Home Health | 11811 Shaker Blvd Ste 305, Cleveland, OH 44120-1960 | 2020-07-29 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on KISHA JEFFERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.