Shawanda K Harris

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

306 Knelston Oak Dr
Suwanee, GA 30024-7297

Phone

(469) 363-5090

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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.

• Iprovide Home Care Solutions, LLC

  • In Home Supportive Care Agency
  • Suwanee, GA
  • NPI 1629710462
  NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1992380356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 KNELSTON OAK DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247297",
            "telephone_number": "469-363-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 KNELSTON OAK DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247297",
            "telephone_number": "469-363-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHAWANDA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iProvidehomecaresoultions@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "306 Knelston Oak Dr",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300247297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Harness, DDS
• Peggy Casey Harper, PT
• John Keith Harris, PT
• Karen Rae Harris, RNFA
• Mark Thomas Harris Sr., RBT
• Sherisa Harris, RN
• Sierra Taylor Harris, BS, RBT
• Ted E Harris, DDS
• Katie Elizabeth Harrison, PT
• Christopher John Hart, M.D.

• In Home Supportive Care Agency in Suwanee, GA
• Providers in Suwanee, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.