Active NPI
Daisha Thomas
- Respite Care
- Cleveland, OH
National Provider Identifier
1215743752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 1325 E 111TH St
Cleveland, OH 44106-1303 - Phone
- (216) 355-6703
- NPI assigned
- Dec 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | RU850254 | OH | |
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
1325 E 111TH St
Cleveland, OH 44106-1303
Mailing address
136 Paul St
Bedford, OH 44146-4646
Phone (216) 355-6703
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RU850254 | OH | MD | Transportation Network Company |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1215743752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 PAUL ST",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441464646",
"telephone_number": "216-355-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E 111TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061303",
"telephone_number": "216-355-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DAISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "OH",
"license": "RU850254",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"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 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.