Active NPI
Patient-Centered Care Staffing Agency
- Non-emergency Medical Transport (VAN)
- Shaker Heights, OH
National Provider Identifier
1780398552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shakirah Wilson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002374 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | patientcentered@pccstaffing.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Patient-Centered Care Staffing Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Shaker Heights, OH
- NPI 1851966071
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Shaker Heights, OH
- NPI 1285227223
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.