Active NPI
Latreace Michelle Snead
- Home Health Agency
- Verona, PA
National Provider Identifier
1174106942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 55933601
- Practice address
- 7811 Mount Carmel Rd
Verona, PA 15147 - Phone
- (412) 513-7113
- NPI assigned
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 55933601 | PA | Primary |
Addresses
Primary practice location
7811 Mount Carmel Rd
Verona, PA 15147
Mailing address
7811 Mount Carmel Rd
Verona, PA 15147
Phone (412) 513-7113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55933601 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55933601 | PA | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1174106942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7811 MOUNT CARMEL RD",
"city": "VERONA",
"state": "PA",
"postal_code": "15147",
"telephone_number": "412-513-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7811 MOUNT CARMEL RD",
"city": "VERONA",
"state": "PA",
"postal_code": "15147",
"telephone_number": "412-513-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEAD",
"first_name": "LATREACE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "55933601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55933601",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Verona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.