Tisharah Antionette Thomas

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4238 Wilmington Rd
South Euclid, OH 44121-3139

Phone

(216) 313-2035

NPI assigned

Mar 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divinely Gifted Home Care Services LLC

  • Home Health Agency
  • South Euclid, OH
  • NPI 1508514696
  NPD Authorized official

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1730836453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 WILMINGTON RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213139",
            "telephone_number": "216-313-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WILMINGTON RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213139",
            "telephone_number": "216-313-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TISHARAH",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RT000595",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Endoscopy Center at Bainbridge, LLC
• Thebarbielabel
• Cory Thomas
• Jennifer Thomas, LPN
• Rasheda Latrese Thomas, LPN
• Christopher J Tighe, DPM
• William Phillip Tighe III, DDS
• Danielle Renee Timmons, MSSA
• TLC Transportation Services
• TMJ Group, LLC

• Home Health Aide in South Euclid, OH
• Providers in South Euclid, 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 Mar 2, 2022; 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.