Micah Health Services LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

MICAH HEALTH SERVICES LLC

Practice address

313 S State Rd
Upper Darby, PA 19082-3534

Phone

(484) 764-1928

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Katon Bell

Title

Administrator

Phone

(484) 764-1928

Specialties & licenses 1

Addresses

Other names 1

• Micah Health Services LLC Former legal business name

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1124703731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S STATE RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823534",
            "telephone_number": "484-764-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S STATE RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823534",
            "telephone_number": "484-764-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KATON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "484-764-1928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micah Health Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nurse's Aide in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Nurse's Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.