Provider Demographics
NPI:1851966071
Name:PATIENT-CENTERED CARE STAFFING AGENCY
Entity Type:Organization
Organization Name:PATIENT-CENTERED CARE STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:216-937-5211
Mailing Address - Street 1:1284 SOM CENTER RD # 366
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2048
Mailing Address - Country:US
Mailing Address - Phone:216-937-5211
Mailing Address - Fax:
Practice Address - Street 1:3725 HILDANA RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-5005
Practice Address - Country:US
Practice Address - Phone:216-937-5211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)