Lakisha Calhoun

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LAKISHA CALHOUN

Practice address

18661 Raymond St
Maple Heights, OH 44137-1643

Phone

(216) 258-5663

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakisha Calhoun, NURSING ASSISTANT

Title

Stna

Phone

(216) 258-5663

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1558782722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18661 RAYMOND ST",
            "city": "MAPLE HTS",
            "state": "OH",
            "postal_code": "441371632",
            "telephone_number": "216-663-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18661 RAYMOND ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371643",
            "telephone_number": "216-258-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKISHA CALHOUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "STNA",
        "authorized_official_telephone_number": "216-258-5663",
        "authorized_official_credential": "NURSING ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "379692680301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.