TIARA HENDERSON (NPI# 1407487598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4342 Lee Rd, Cleveland, OH 441282404 | 2169723877 |
Street Address |
2040 ELBUR AVE |
City | LAKEWOOD |
State | OH |
Zip Code | 44107-6114 |
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 |
Find all providers in zip 44107 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
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 |
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 |
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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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.