Saras Heart

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

PN 115400 Issued in OH

Legal business name

SARAS HEART

Doing business as

mikkis

Practice address

2320 Stonepath St
Lorain, OH 44052-1189

Phone

(313) 808-3314

NPI assigned

Feb 27, 2010

Last updated

Feb 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shanequa Yenae Jordan, L.P.N.

Title

Indepedent Contractor

Phone

(313) 808-3314

Specialties & licenses 2

Addresses

Other names 1

• mikkis Doing business as

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267228800000",
    "number": "1174845465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 STONEPATH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521189",
            "telephone_number": "313-808-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 STONEPATH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521189",
            "telephone_number": "313-808-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAS HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-27",
        "last_updated": "2010-02-27",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHANEQUA",
        "authorized_official_middle_name": "YENAE",
        "authorized_official_title_or_position": "INDEPEDENT CONTRACTOR",
        "authorized_official_telephone_number": "313-808-3314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MI",
            "license": "4703101185",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "PN 115400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mikkis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Manuel Sandoval, MD
• Angela M Sanford, LPCC
• Desirae Sanford
• Anaya Alizea Santiago
• Jessica Santiago, CRISIS ASSISTANT
• Balaji Saravanan, M.D.
• Jasmina Saric, DMD
• Sahar Sarkis
• Lillian Kay Satterfield, PN060590
• Nicole Mazur Sauer, SLP-CCC

• Nursing Facility/Intermediate Care Facility in Lorain, OH
• Providers in Lorain, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; 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.