Ishmail A Tholley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN282050 Issued in PA

Practice address

1027 Serrill Ave
Yeadon, PA 19050-3809

Phone

(484) 469-4692

Fax

(484) 469-4694

NPI assigned

Feb 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mamusu Home Health Services LLC

  • Home Health Agency
  • Sharon Hill, PA
  • NPI 1164386348
  NPD Authorized official

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1174897789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SERRILL AVE",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503809",
            "telephone_number": "484-469-4692",
            "fax_number": "484-469-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SERRILL AVE",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503809",
            "telephone_number": "484-469-4692",
            "fax_number": "484-469-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOLLEY",
        "first_name": "ISHMAIL",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN282050",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PN282050",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "PN282050",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "PN282050",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "PN282050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strategies in Transition
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• Sweet Somo Home Care Agency LLC
• Taracare Supportive Services LLC
• Tiff Counseling Services
• To Keep and to Comfort Home Health Care LLC
• Tri-State Family Eye Care, Inc.
• Fafa Tsikata, ATC
• United Family Inclusive Living Center Ufil Inc

• Licensed Practical Nurse in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.