Active NPI
Ericka Gordon
- Home Health Agency
- Cleveland, OH
National Provider Identifier
1407560345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 378785510400
- Practice address
- 14205 Kingsford Ave
Cleveland, OH 44128 - Phone
- (216) 326-6323
- NPI assigned
- Jan 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 378785510400 | OH | Primary |
Addresses
Primary practice location
14205 Kingsford Ave
Cleveland, OH 44128
Mailing address
14205 Kingsford Ave
Cleveland, OH 44128
Phone (216) 326-6323
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Direct |
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 |
|---|---|---|---|
| 378785510400 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1407560345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 KINGSFORD AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44128",
"telephone_number": "216-326-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 KINGSFORD AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44128",
"telephone_number": "216-326-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ERICKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "378785510400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"endpointDescription": "passionatecare875@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14205 Kingsford Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "44128",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.