Active NPI
David Louis Annese
- In Home Supportive Care Agency
- Bushkill, PA
National Provider Identifier
1023453735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 24093601
- Practice address
- 119 Canterbury Rd
Bushkill, PA 18324-8213 - Phone
- (347) 563-6733
- NPI assigned
- May 8, 2013
- Last updated
- May 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 24093601 | PA | Primary |
Addresses
Primary practice location
119 Canterbury Rd
Bushkill, PA 18324-8213
Mailing address
119 Canterbury Rd
Bushkill, PA 18324-8213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24093601 | PA | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Gold Home Health Inc | Current | Accepting new patients | |
| Heart of Gold, LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- East Stroudsburg, PA
- NPI 1497362875
-
- In Home Supportive Care Agency
- East Stroudsburg, PA
- NPI 1801427612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1023453735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 CANTERBURY RD",
"city": "BUSHKILL",
"state": "PA",
"postal_code": "183248213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CANTERBURY RD",
"city": "BUSHKILL",
"state": "PA",
"postal_code": "183248213",
"telephone_number": "347-563-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNESE",
"first_name": "DAVID",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "24093601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bushkill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.