Star Faith Harris
Individual provider Active NPI Home Health Aide · Nokomis, FL
NPI 1659862969 · NPPES record last updated May 22, 2018
Key facts
- NPI
- 1659862969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 104 Emerald Ave S
Nokomis, FL 34275-4972 - Phone
- (941) 237-7935
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | FL | Yes |
Addresses
Primary practice location
104 Emerald Ave S
Nokomis, FL 34275-4972
Mailing address
104 Emerald Ave S
Nokomis, FL 34275-4972
Phone (941) 237-7935
Other providers in Nokomis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.