Shirley J Sistrunk

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

17325 Euclid Ave Ste 2049a
Cleveland, OH 44112-1247

Phone

(216) 303-1415

NPI assigned

May 11, 2019

Last updated

May 11, 2019By the provider in NPPES

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 names 1

• Shirley J Sistrunk Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Loving Care, LLC

  • In Home Supportive Care Agency
  • Cleveland, OH
  • NPI 1184281404
  NPD (past) Authorized official

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1215593694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21087",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441210087",
            "telephone_number": "216-233-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2049A",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-303-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTRUNK",
        "first_name": "SHIRLEY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "SISTRUNK",
            "middle_name": "J",
            "credential": "SENIOR LOVING CARE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandria Tina Sirleaf
• Sis Home Care LLC
• Valerie L Sisson, LISW-SUPV
• Sister Sister Home Care, LLC
• Shirel Sistrunk
• Samantha Louise Sitarz, DO
• Elana Beth Sitnik, MD
• Susan Marie Sitzenstock, RN, FNP
• Ana Lucia Siu Chang, M.D.
• Alvina Hoi-Pui Siu, DDS

• In Home Supportive Care Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.