Xtradata

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

XTRADATA

Practice address

532 Fern St
Yeadon, PA 19050-3226

Phone

(267) 530-8854

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Mohamed Idriss

Title

Chief Executive Officer

Phone

(267) 530-8854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1205606613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 FERN ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503226",
            "telephone_number": "267-530-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 FERN ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503226",
            "telephone_number": "267-530-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRADATA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "IDRISS",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "267-530-8854"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Wayne, M.S.
• Clare Elizabeth Whelen, SLP
• Linda R Wilkins, THERAPIST
• Christine Elizabeth Williams, M.S., M.A.
• Annette Wright, BSN
• Mohamed Deen Yansane, BSN RN
• Yeadon Family Dentistry
• Yeadon Fire Co No 1
• Yeadon Operations LLC (Yeadon Rehabilitation and Nursing Center)
• Yeadon SNF Operations LLC

• Home Health Agency in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.