Active NPI
Thara Nicole Taylor
- Home Health Agency
- E Cleveland, OH
National Provider Identifier
1689814089
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 18, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2892035
- Practice address
- 15978 Nelacrest Rd
6
E Cleveland, OH 44112-2241 - Phone
- (216) 451-3863
- NPI assigned
- Feb 24, 2009
- Last updated
- Feb 24, 2009
- 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 | 2892035 | OH | Primary |
Addresses
Primary practice location
15978 Nelacrest Rd
6
E Cleveland, OH 44112-2241
Mailing address
15978 Nelacrest Rd
6
E Cleveland, OH 44112-2241
Phone (216) 451-3863
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2892035 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1689814089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15978 NELACREST RD",
"address_2": "6",
"city": "E CLEVELAND",
"state": "OH",
"postal_code": "441122241",
"telephone_number": "216-451-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15978 NELACREST RD",
"address_2": "6",
"city": "E CLEVELAND",
"state": "OH",
"postal_code": "441122241",
"telephone_number": "216-451-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THARA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "2892035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in E Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.