Provider Demographics
NPI:1275365132
Name:HARRIS, CAHRA ASIA (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:CAHRA
Middle Name:ASIA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-3412
Mailing Address - Country:US
Mailing Address - Phone:216-894-7520
Mailing Address - Fax:
Practice Address - Street 1:1530 E 84TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-3412
Practice Address - Country:US
Practice Address - Phone:216-894-7520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide