Active NPI
Brandis E Singleton, R.T.(T)
- In Home Supportive Care Agency
- Philadelphia, PA
National Provider Identifier
1033835574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 67043601
- Practice address
- 1616 W. Mentor Street
Philadelphia, PA 19141 - Phone
- (267) 437-6873
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 67043601 | PA | |
| Respite Care | 385H00000X | 67043601 | PA | |
| In Home Supportive Care Agency | 253Z00000X | 67043601 | PA | Primary |
Addresses
Primary practice location
1616 W. Mentor Street
Philadelphia, PA 19141
Mailing address
1616 W. Mentor Street
Philadelphia, PA 19141-0000
Phone (267) 437-6873
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 |
|---|---|---|---|
| 67043601 | PA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1033835574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W. MENTOR STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191410000",
"telephone_number": "267-437-6873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W. MENTOR STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "267-437-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETON",
"first_name": "BRANDIS",
"middle_name": "E",
"credential": "R.T.(T)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "PA",
"license": "67043601",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "67043601",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "67043601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.