IndividualActive
Damarea Harris
NPI 1053107268 · Home Health Aide · Long Beach, CA
Provider details
- NPI number
- 1053107268
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Religious Nonmedical Practitioner374K00000X
Nursing Service Related Providers
- Religious Nonmedical Nursing Personnel374T00000X
Nursing Service Related Providers
Practice location
4825 Gaviota Ave
Long Beach, CA 90807-1209
Phone: (213) 809-1538
Approximate (ZIP-level) locationGet directions
Mailing address
4825 Gaviota Ave
Long Beach, CA 90807-1209
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.