Eugina K Harrison, CNA/HOME HEALTH AIDE

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA187118 Issued in FL

Practice address

602 W Clarke St
Wildwood, FL 34785-3019

Phone

(352) 461-6188

NPI assigned

Apr 14, 2014

Last updated

Apr 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Senior Staffing Services

  • In Home Supportive Care Agency
  • Wildwood, FL
  • NPI 1215356605
  Authorized official Same address or phone
• Unique Possibilities Adult Day Care Center

  • Respite Care
  • Oxford, FL
  • NPI 1275986929
  Authorized official Same address or phone

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1902225352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7348 COUNTY ROAD 213",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347854318",
            "telephone_number": "352-461-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W CLARKE ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853019",
            "telephone_number": "352-461-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "EUGINA",
        "middle_name": "K",
        "credential": "CNA/HOME HEALTH AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "2587112",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA187118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirakle Gadson, LPN
• Algernon M Gilmer
• Mariel Gonzalez-Mendoza, MD
• Christina Gwyn, SLP
• Khaled Handauz, D.D.S
• Karen Hayes, LCSW
• Healing Educational Alternatives for Deserving Students, LLC
• Healing Educational Alternatives for Deserving Students, LLC.
• Healing Educational Alternatives for Deserving Students, LLC. (Heads)
• Latoya Hill, OTA

• Nurse's Aide in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.