Escherica Medley

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

882062 Issued in GA

Legal business name

ESCHERICA MEDLEY

Practice address

19218 Shakerwood Rd
Warrensville Heights, OH 44122-6606

Phone

(404) 908-6040

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Escherica Tionna Medley

Title

Cna

Phone

(404) 908-6040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1205215811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19218 SHAKERWOOD RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "404-908-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19218 SHAKERWOOD RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226606",
            "telephone_number": "404-908-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCHERICA MEDLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "ESCHERICA",
        "authorized_official_middle_name": "TIONNA",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "404-908-6040"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "882062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.