Active NPI
Hubbard House Inc
- Licensed Practical Nurse
- Philadelphia, PA
National Provider Identifier
1083152854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN084112L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032296880001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI 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.