Active NPI
Mary Ann Leadbeater
- Home Health Agency
- Smithfield, PA
National Provider Identifier
1194063545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 11313601
- Practice address
- 385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237 - Phone
- (724) 710-8885
- Fax
- (724) 569-1068
- NPI assigned
- Jan 18, 2013
- Last updated
- Jan 18, 2013
- 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 | 11313601 | PA | Primary |
Addresses
Primary practice location
385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237
Mailing address
385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237
Phone (724) 710-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11313601 | Other | PA | CERTIFICATE OF LICENSURE |
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 |
|---|---|---|---|
| 11313601 | PA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Angels Home Care | Home Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Smithfield, PA
- NPI 1417460155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1194063545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 SMITHFIELD HIGHHOUSE RD",
"city": "SMITHFIELD",
"state": "PA",
"postal_code": "154781237",
"telephone_number": "724-710-8885",
"fax_number": "724-569-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 SMITHFIELD HIGHHOUSE RD",
"city": "SMITHFIELD",
"state": "PA",
"postal_code": "154781237",
"telephone_number": "724-710-8885",
"fax_number": "724-569-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADBEATER",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "11313601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE OF LICENSURE",
"identifier": "11313601",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.