CHIMEREA DE'SHAY PORTER (NPI# 1790282085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790282085 |
| Entity Type | Individual |
| Full Name | CHIMEREA DE'SHAY PORTER |
| Practice Address |
16212 Kollin Ave Cleveland OH 44128-3808 |
| Practice Telephone | 2164561530 |
| Mailing Telephone | 2164561530 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | OH | Transportation Services | |
| N | 374U00000X | Home Health Aide | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0228690 | 05 | |
| OH | 0228848 | 05 |
| Street Address |
16212 KOLLIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345286 | Aellen Home Care LLC | In Home Supportive Care | 4731 Country Lane, Apt B30, Warrensville Hts, OH 44128 | 2020-10-29 |
| 1740813450 | Lakeithia Carter | Case Management | 4663 Walford Rd, 6, Warrensville, OH 44128 | 2020-02-20 |
| 1336706795 | Jeanna S Cannon | Home Health Aide | 20571 Ellacott Parkway, Suite 633, Warrensville Hts, OH 44128 | 2019-05-21 |
| 1003301672 | Johnny Cleaver Huff | Peer Specialist | 17005 Deforest Ave, Cleveland, OH 44128 | 2018-06-26 |
| 1952891905 | Golden Hearts Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 19704 Longbrook Rd, Warrensville Heights, OH 44128 | 2018-05-15 |
| 1326537671 | Hollie Irving | Case Manager/Care Coordinator | 3860 E 149th St, Cleveland, OH 44128 | 2018-05-02 |
| 1083128789 | Cherae Daniel | Licensed Practical Nurse | 4101 East 151 Street, Cleveland, OH 44128 | 2017-11-17 |
| 1770007023 | Lynda Robinson | Occupational Therapist | 25001 Emery Rd, Suite 100, Warrensville Hts, OH 44128 | 2017-07-28 |
| 1205285608 | Leslie Johnson | Licensed Practical Nurse | 4085 East 175 Th Street, Cleveland, OH 44128 | 2016-06-07 |
| 1083094742 | Elaina Patterson | Licensed Practical Nurse | 4100 E. 154th St, Cleveland, OH 44128 | 2015-06-08 |
| Find all providers in zip 44128 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279012 | Qualified Medical Tranportation | Non-emergency Medical Transport (VAN) | 3225 E 56th Pl, Cleveland, OH 44127-1301 | 2020-09-11 |
| 1427668607 | James Cooper | Non-emergency Medical Transport (VAN) | 1184 E 81st St, Cleveland, OH 44103-2206 | 2020-08-03 |
| 1841818002 | Thomas Edward Starkey Sr. | Non-emergency Medical Transport (VAN) | 135 Chestnut Ln Apt J315, Cleveland, OH 44143-1021 | 2020-07-13 |
| 1962021071 | Genex Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 1312 W 58th St, Cleveland, OH 44102-2120 | 2020-04-09 |
| 1639702855 | Ohio Wellness Transit | Non-emergency Medical Transport (VAN) | 3295 W. 97th St, Cleveland, OH 44102 | 2020-02-17 |
| 1598308298 | Premier Ohio Transportation In | Non-emergency Medical Transport (VAN) | 17325 Euclid Ave Ste 3029, Cleveland, OH 44112-1255 | 2019-10-25 |
| 1639654494 | Gulf Transport LLC | Non-emergency Medical Transport (VAN) | 18512 Homeway Rd, Cleveland, OH 44135-4022 | 2018-09-27 |
| 1679053102 | Caring Wheels Transportation Services LLC | Non-emergency Medical Transport (VAN) | 3154 Audubon Blvd, Cleveland, OH 44104-5328 | 2018-08-15 |
| 1235628983 | Bolivar County Council On Aging, Inc. | Non-emergency Medical Transport (VAN) | 800 S Davis Ave, Cleveland, MS 38732-3943 | 2018-05-08 |
| 1164925566 | Westchester House Adult Family Home LLC | Non-emergency Medical Transport (VAN) | 10305 Westchester Ave, Cleveland, OH 44108-3461 | 2018-03-12 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on CHIMEREA DE'SHAY PORTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.