Organization Active NPI

Patient-Centered Care Staffing Agency

  • Non-emergency Medical Transport (VAN)
  • Shaker Heights, OH
National Provider Identifier
1780398552
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PATIENT-CENTERED CARE STAFFING AGENCY
Practice address
3725 Hildana Rd
Shaker Heights, OH 44120-5005
Phone
(216) 937-5211
NPI assigned
Jan 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Shakirah WilsonNPI 1285227223
Title
Administrator
Phone
(216) 855-3637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3725 Hildana Rd
Shaker Heights, OH 44120-5005

Mailing address

3725 Hildana Rd
Shaker Heights, OH 44120-5005
Phone (216) 937-5211

Other identifiers 1

IdentifierTypeStateIssuer
0002374MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL patientcentered@pccstaffing.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Patient-Centered Care Staffing Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1780398552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 HILDANA RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205005",
            "telephone_number": "216-937-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 HILDANA RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205005",
            "telephone_number": "216-937-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT-CENTERED CARE STAFFING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHAKIRAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-855-3637"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002374",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patientcentered@pccstaffing.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3725 Hildana Rd",
            "city": "Shaker Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441205005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.