TIARA HENDERSON


Address: 2040 Elbur Ave, Lakewood, OH 44107-6114
Phone: 2169723877

TIARA HENDERSON (NPI# 1407487598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407487598
Entity Type Individual
Full Name TIARA HENDERSON
Practice Address 2040 Elbur Ave
Lakewood
OH 44107-6114
Practice Telephone 2169723877
Mailing Telephone 2169723877
Enumeration Date 2020-01-28
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4342 Lee Rd, Cleveland, OH 441282404 2169723877

Office Location

Street Address 2040 ELBUR AVE
City LAKEWOOD
State OH
Zip Code 44107-6114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063907889 Michael Vamvas Contractor 31 Salvatore Dr, Lakewood, NJ 08701-5898 2018-06-25
1518471747 Israel Farkas Contractor 428 Clifton Ave # 165, Lakewood, NJ 08701-3234 2017-11-27
1306358460 Ella Cherney Contractor 464 Ridge Ave, Lakewood, NJ 08701-3454 2017-10-30
1679082408 The Federation of Families for Children's Mental Health Contractor 7475 W 5th Ave Ste 307, Lakewood, CO 80226-1675 2017-09-25
1689971244 Yisroel Levovitz Contractor 534 Marc Dr, Lakewood, NJ 08701-5112 2011-02-17
1902133531 Karen Ochoa Borja Contractor 25 Ford Ave, Lakewood, NJ 08701-5660 2009-11-03
1932613163 Bugaboo Pest Control Contractor 428 Clifton Ave # 165, Lakewood, NJ 08701-3234 2017-11-27
1942529110 Paula C Cates Contractor 8015 W Alameda Ave, Ste 110-c, Lakewood, CO 80226-3041 2010-05-26
1831395649 Paula G. Van Pul Contractor 3815 100th St Sw, Suite 2b, Lakewood, WA 98499-4401 2007-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487469 Ingrid York Contractor 331 N Walnut St, Ravenna, OH 44266-2325 2020-11-07
1952902538 Robert Brett Contractor 1825 Bur Oak Dr, Westlake, OH 44145-6851 2020-11-02
1588264204 Jennifer Ann Scholl Contractor 2551 Hilton Dr Apt 1, Dayton, OH 45409-1822 2020-10-30
1770183899 Angela Lakersha Martin Contractor 2810 Cyclorama Dr, Cincinnati, OH 45211-8330 2020-10-28
1992303622 Deborah L Smith Contractor 11 E Randy St, New Franklin, OH 44203-4820 2020-10-14
1396343539 Nijah Nicole Williams Contractor 1922 Acorn Dr, Cincinnati, OH 45231-5201 2020-10-10
1750988135 Willis Amweg Contractor 7514 Sawbury Ct, Columbus, OH 43235-1855 2020-10-08
1811594476 William H Goodson Contractor 2288 Tatman Coe Rd, Mc Dermott, OH 45652-8902 2020-10-07
1609473552 Monica Adesuwa Triplett Contractor 1430 Parkside Blvd, Toledo, OH 43607-1507 2020-10-05
1427665827 Stephane C Cross Contractor 775 Bridgeport Ave Apt 306, Streetsboro, OH 44241-4058 2020-09-29
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Competitor

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City LAKEWOOD
Zip Code 44107

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Dataset Information

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.

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