Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STEPHON HARRIS
NPI 1164330833
Custodial Care Facility - Adult Care Home in Charleston, WV

Q: What is Stephon Harris's NPI number?

The NPI number for Stephon Harris is 1164330833. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Q: What is Stephon Harris's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Stephon Harris was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2026

612 RANDOLPH ST, CHARLESTON, WV 25302(304) 539-3831 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Stephon Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHON HARRIS (NPI 1164330833) is an individual adult care home provider in Charleston, West Virginia and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1164330833

Entity TypeIndividualMale

Primary Taxonomy311ZA0620X

Provider Legal NameSTEPHON HARRIS

Location Address612 RANDOLPH STCharleston, WV 25302-2021

Mailing Address612 Randolph StCharleston, WV 25302-2021

Phone(304) 539-3831

Sole ProprietorYes

Enumeration DateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1164330833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

612 RANDOLPH ST, Charleston, WV 25302

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephon Harris's NPI number?

The NPI number for Stephon Harris is 1164330833. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Where is Stephon Harris located?

Stephon Harris practices at 612 Randolph St, Charleston, WV 25302. The listed phone number is (304) 539-3831.

What is Stephon Harris's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Stephon Harris was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.