Adult Gero Prime HC Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADULT GERO PRIME HC SERVICES

Practice address

240 N Wycombe Ave
Lansdowne, PA 19050-1618

Phone

(973) 220-5984

Fax

(215) 664-5565

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adunni Mudiwa Ward, NPNPI 1477217180

Title

Owner

Phone

(973) 220-5984

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adunni Mudiwa Ward, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Lansdowne, PA
  • NPI 1477217180
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1114766490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WYCOMBE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501618",
            "telephone_number": "973-220-5984",
            "fax_number": "215-664-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WYCOMBE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501618",
            "telephone_number": "973-220-5984",
            "fax_number": "215-664-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT GERO PRIME HC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ADUNNI",
        "authorized_official_middle_name": "MUDIWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-220-5984",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477217180",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lansdowne",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "240 N Wycombe Ave",
            "city": "Lansdowne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190501618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Lansdowne, PA
• Providers in Lansdowne, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.