Ebony Carlisle

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

400712590108 Issued in OH

Practice address

12225 Valley Lane Dr Apt 104
Garfield Heights, OH 44125-4559

Phone

(216) 471-0295

NPI assigned

Dec 7, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1558138792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 VALLEY LANE DR APT 104",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254559",
            "telephone_number": "216-471-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 VALLEY LANE DR APT 104",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254559",
            "telephone_number": "216-471-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400712590108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerryann Campbell, NP
• Tessa Catherine Campolieti, M.ED., AT
• Sean Carey-Love, PT, DPT
• Sarah Carey, PTA
• Caring for the Elderly LLC
• Jose Alfredo Caro
• Miranda Lyn Carroll
• Darrion Antonio Carter
• Annyanna Cash
• Catalyst Behavioral Health Services Inc

• Home Health Aide in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.