Provider Demographics
NPI:1679263537
Name:HARRIS, EVE L (CNA, CHW)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:L
Last Name:HARRIS
Suffix:
Gender:F
Credentials:CNA, CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 S PINE ISLAND RD APT 103
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2626
Mailing Address - Country:US
Mailing Address - Phone:954-589-8342
Mailing Address - Fax:
Practice Address - Street 1:5 S PINE ISLAND RD APT 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2626
Practice Address - Country:US
Practice Address - Phone:954-589-8342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172V00000XOther Service ProvidersCommunity Health Worker
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion