Provider Demographics
NPI:1598423386
Name:SHARON HEALTHCARE CHAMPIONS LLC
Entity Type:Organization
Organization Name:SHARON HEALTHCARE CHAMPIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANJA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:216-773-2366
Mailing Address - Street 1:17325 EUCLID AVE STE 4068
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1262
Mailing Address - Country:US
Mailing Address - Phone:216-230-9302
Mailing Address - Fax:
Practice Address - Street 1:17325 EUCLID AVE STE 4068
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1262
Practice Address - Country:US
Practice Address - Phone:216-230-9302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health