Individual provider Active NPI

Odalou Bilalissa

  • Home Health Aide
  • Sharon Hill, PA
National Provider Identifier
1124988910
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
78793601 Issued in PA
Practice address
216 Felton Ave
Sharon Hill, PA 19079-2105
Phone
(267) 577-0828
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 78793601 PA Primary

Addresses

Primary practice location

216 Felton Ave
Sharon Hill, PA 19079-2105

Mailing address

216 Felton Ave
216 Felton Ave
Sharon Hill, PA 19079-2105
Phone (267) 577-0828

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

LicenseStateTypeSpecialty
78793601PAMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1124988910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FELTON AVE",
            "address_2": "216 FELTON AVE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190792105",
            "telephone_number": "267-577-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FELTON AVE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190792105",
            "telephone_number": "267-577-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILALISSA",
        "first_name": "ODALOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "78793601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.