Active NPI
Shalnita Yvonne Long
- Home Health Aide
- Maple Heights, OH
National Provider Identifier
1174086680
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5082 Cato St
Maple Heights, OH 44137-1412 - Phone
- (216) 232-8065
- NPI assigned
- Apr 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
5082 Cato St
Maple Heights, OH 44137-1412
Mailing address
5082 Cato St
Maple Heights, OH 44137-1412
Phone (216) 232-8065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9100 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1174086680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5082 CATO ST",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441371412",
"telephone_number": "216-232-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5082 CATO ST",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441371412",
"telephone_number": "216-232-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "SHALNITA",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.