Provider Demographics
NPI:1831884527
Name:JAMES, CHARNAY SIMONE
Entity type:Individual
Prefix:
First Name:CHARNAY
Middle Name:SIMONE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9202 GARFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44125-1311
Mailing Address - Country:US
Mailing Address - Phone:216-327-1495
Mailing Address - Fax:
Practice Address - Street 1:9202 GARFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44125-1311
Practice Address - Country:US
Practice Address - Phone:216-327-1495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health