NPIMap

Organization Active NPI

Sharese Williams

  • Adult Care Home Facility
  • Cleveland, OH
National Provider Identifier
1104257302
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
376141640197 Issued in OH
Legal business name
SHARESE WILLIAMS
Practice address
11217 Melba Ave
Cleveland, OH 44104-5026
Phone
(216) 798-0828
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Ms. Sharese L WilliamsNPI 1992109623
Title
Stna
Phone
(216) 798-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 376141640197 OH Primary

Addresses

Primary practice location

11217 Melba Ave
Cleveland, OH 44104-5026

Mailing address

11217 Melba Ave
Cleveland, OH 44104-5026
Phone (216) 798-0828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1104257302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 MELBA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441045026",
            "telephone_number": "216-798-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11217 MELBA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441045026",
            "telephone_number": "216-798-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARESE WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHARESE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "STNA",
        "authorized_official_telephone_number": "216-798-0828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "376141640197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.