Individual provider Active NPI

Deasia Deramus

  • Case Manager/Care Coordinator
  • Parma, OH
National Provider Identifier
1346061561
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1440 Rockside Rd Ste 216
Parma, OH 44134-2749
Phone
(216) 777-6062
Fax
(216) 777-6064
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1440 Rockside Rd Ste 216
Parma, OH 44134-2749

Mailing address

1440 Rockside Rd Ste 216
Parma, OH 44134-2749
Phone (216) 777-6062

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Harbor Behavioral Health, LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

1440 Rockside Rd
Ste 216
Parma, OH 44134
Phone (216) 408-9355

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1346061561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 216",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-777-6062",
            "fax_number": "216-777-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 216",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-777-6062",
            "fax_number": "216-777-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAMUS",
        "first_name": "DEASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.