DEANDRE RASHAD HARRIS (NPI# 1902362494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902362494 |
| Entity Type | Individual |
| Full Name | DEANDRE RASHAD HARRIS |
| Practice Address |
318 Mahoning Ave Nw Warren OH 44483-4605 |
| Practice Telephone | 3303959563 |
| Mailing Telephone | 3303959563 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
318 MAHONING AVE NW |
| City | WARREN |
| State | OH |
| Zip Code | 44483-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705570 | Joann Marlier | Counselor | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2007-01-15 |
| 1629689534 | Carol Holmes-chambers | Student in an Organized Health Care Education/Training Program | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2020-08-13 |
| 1174148746 | Ary'anah Marie Walker | Counselor | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2020-06-10 |
| 1871126292 | Daniel Liptak | Registered Nurse | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2020-02-13 |
| 1700424793 | Michelene Zalac | Case Manager/Care Coordinator | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-12-20 |
| 1841832045 | Panagiota Maria Pahoulis | Social Worker | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-10-09 |
| 1871134650 | Molli Anne Simcox | Case Manager/Care Coordinator | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-10-03 |
| 1437704590 | Autumn Crump | Counselor | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-08-06 |
| 1104478718 | Anastashia Garrison | Social Worker | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-07-13 |
| 1982265310 | Carl Duane Mathews Jr. | Counselor | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604970 | Ophelia Williams | Case Manager/Care Coordinator | 3200 Clearwater St Nw, Warren, OH 44485-2218 | 2020-03-18 |
| 1851878151 | Scott Christopher Van Cure | Case Manager/Care Coordinator | 744 Champion Ave E, Warren, OH 44483-1510 | 2018-07-19 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1609319862 | Ashlie Mitchell | Case Manager/Care Coordinator | 12220 E 13 Mile Rd Ste 300, Warren, MI 48093-5000 | 2016-11-21 |
| 1235580234 | Ashley Danielle Brown | Case Manager/Care Coordinator | 2245 Shalom Ave Nw, Warren, OH 44483-3259 | 2016-06-30 |
| 1790015626 | Danyelle Hugaboom | Case Manager/Care Coordinator | 1175 Parkman Rd Nw, Warren, OH 44485-2468 | 2009-12-25 |
| 1881820322 | Marshall County Social Services | Case Manager/Care Coordinator | 208 E Colvin Ave., Suite 14, Warren, MN 56762 | 2009-06-10 |
| 1326649245 | Samantha Channell | Case Manager/Care Coordinator | 320 High St Ne, Warren, OH 44481-1222 | 2020-11-06 |
| 1700424793 | Michelene Zalac | Case Manager/Care Coordinator | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-12-20 |
| 1700424009 | Candace La'che Jones | Case Manager/Care Coordinator | 150 E Market St, Warren, OH 44481-1141 | 2019-12-17 |
| Find all providers in WARREN | ||||
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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.