Cassondra Harris

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

PN.130298 Issued in OH

Legal business name

CASSONDRA HARRIS

Practice address

17802 Lake Shore Blvd
Apt 4
Euclid, OH 44119-1232

Phone

(216) 694-1163

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Cassondra Harris

Title

LPN

Phone

(216) 694-1163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1932524576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17802 LAKE SHORE BLVD",
            "address_2": "APT 4",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191232",
            "telephone_number": "216-694-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17802 LAKE SHORE BLVD",
            "address_2": "APT 4",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191232",
            "telephone_number": "216-694-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSONDRA HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CASSONDRA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "216-694-1163"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "PN.130298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Euclid, OH
• Providers in Euclid, OH by specialty
• Adult Care Home Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.