Organization Active NPI

Hubbard House Inc

  • Licensed Practical Nurse
  • Philadelphia, PA
National Provider Identifier
1083152854
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN084112L Issued in PA
Legal business name
HUBBARD HOUSE INC
Practice address
7901 Henry Ave Apt F105
Philadelphia, PA 19128-3054
Phone
(267) 408-6417
Fax
(267) 766-5965
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rita Hubbard
Title
Director/ LPN
Phone
(267) 408-6417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X PN084112L PA Primary

Addresses

Primary practice location

7901 Henry Ave Apt F105
Philadelphia, PA 19128-3054

Mailing address

7901 Henry Ave Apt F105
Philadelphia, PA 19128-3054
Phone (267) 408-6417

Other identifiers 1

IdentifierTypeStateIssuer
1032296880001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1083152854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 HENRY AVE APT F105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283054",
            "telephone_number": "267-408-6417",
            "fax_number": "267-766-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 HENRY AVE APT F105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283054",
            "telephone_number": "267-408-6417",
            "fax_number": "267-766-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "DIRECTOR/ LPN",
        "authorized_official_telephone_number": "267-408-6417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN084112L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032296880001",
            "state": "PA"
        }
    ],
    "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 Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.