MR. WILLIE ESAU HARRIS (NPI# 1962661330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962661330 |
| Entity Type | Individual |
| Full Name | MR. WILLIE ESAU HARRIS |
| Credential | LVN |
| Practice Address |
6248 W Avenue J11 Lancaster CA 93536-1716 |
| Practice Telephone | 6669430021 |
| Practice Fax Number | 6619439877 |
| Mailing Telephone | 6669430021 |
| Mailing Fax Number | 6619439877 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396569 | Willie Cleo Harris Jr. | Pharmacist | Va Medical Center Pharmacy, 1500 E Woodrow Wilson Ave, Jackson, MI 39216-5199 | 2006-10-04 |
| 1255306841 | Willie George Harris | Obstetrics & Gynecology | James .a. Haley Va Hospital, 13000 Bruce B. Downs Blvd., Tampa, FL 33612-4745 | 2006-02-17 |
| 1013492768 | Willie Terence Harris | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2018-09-28 |
| 1346736212 | Willie James Harris Jr. | Social Worker | 44447 10th St W, Lancaster, CA 93534-3324 | 2018-07-03 |
| 1649638164 | Willie Harris | Counselor | 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 | 2016-01-29 |
| 1477506095 | Willie Harris | Psychiatry & Neurology | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-05-17 |
| Street Address |
6248 W AVENUE J11 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962960872 | Janie Hodge | Assisted Living Facility | 44818 Fern Ave, Lancaster, CA 93534-3153 | 2019-03-10 |
| 1467916254 | Full Life Outreach Christian Center Inc. | Assisted Living Facility | 930 W Wintergreen Rd, Lancaster, TX 75134-2346 | 2019-01-25 |
| 1457836496 | Prosperity Arts & Craft Inc | Assisted Living Facility | 2550 Kenwood St, Lancaster, CA 93536-1126 | 2018-09-26 |
| 1326579483 | A.n.a Residential Care LLC | Assisted Living Facility | 1046 E Lancaster Blvd, Lancaster, CA 93535-2752 | 2017-03-21 |
| 1588017289 | A Daughter's Care LLC | Assisted Living Facility | 1237 Cedarbrook Trl, Lancaster, TX 75146-3401 | 2016-07-18 |
| 1083085369 | Gary Johnson | Assisted Living Facility | 1539 W Avenue L12, Lancaster, CA 93534-6930 | 2015-10-13 |
| 1053780320 | Bickford of Lancaster, LLC | Assisted Living Facility | 1834 Countryside Dr, Lancaster, OH 43130-1078 | 2015-09-17 |
| 1235537697 | Nrfhc-lancaster II Ops, LLC | Assisted Living Facility | 2750 W Fair Ave, Lancaster, OH 43130-9500 | 2014-12-16 |
| 1356760060 | Morning Starr New Beginnings | Assisted Living Facility | 1855 Windsor Dr, Lancaster, TX 75134-4148 | 2014-04-09 |
| 1083045496 | Wanda Elaine Smith | Assisted Living Facility | 1046 E. Lancaster Blvd, Lancaster, CA 93535 | 2013-12-11 |
| Find all providers in LANCASTER | ||||
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| 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.