Sharron Geneva Davis, HOME CARE PROVIDER

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

802039433 Issued in MI

Practice address

440 Cherry Grove Rd
Canton, MI 48188-5260

Phone

(734) 828-9154

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sharron Geneva Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1003374729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CHERRY GROVE RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885260",
            "telephone_number": "734-828-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHERRY GROVE RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885260",
            "telephone_number": "734-828-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHARRON",
        "middle_name": "GENEVA",
        "credential": "HOME CARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "802039433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDENTIFICATION NUMBER",
            "identifier": "802039433",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE PROVIDER",
            "identifier": "802039433",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARRON",
            "last_name": "DAVIS",
            "middle_name": "GENEVA",
            "credential": "HOME CARE PROVIDER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angela Rena Davis, LMSW, SAP
• Kennaya Yauquan Davis, LPN
• Matthew Mason Davis, MD
• Melinda Baughman Davis, M.D.
• Sean Davis
• Suzie Davtyan
• April Dawson
• Paul Allen Dearing, O.D.
• Tracy Lynn Debreczeny
• Paul George Debrincat, M.D.

• Home Health Agency in Canton, MI
• Providers in Canton, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.