Individual provider Active NPI

Yawa Dotse

  • Nursing Care Agency
  • Collingdale, PA
National Provider Identifier
1245661230
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
04970501 Issued in PA
Practice address
217 Clifton Ave Ste 8
Collingdale, PA 19023-3736
Phone
(610) 696-5045
Fax
(484) 540-8553
NPI assigned
Dec 2, 2013
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20663601 PA
Nursing Care Agency 251J00000X 04970501 PA Primary

Addresses

Primary practice location

217 Clifton Ave Ste 8
Collingdale, PA 19023-3736

Mailing address

217 Clifton Ave Ste 8
Collingdale, PA 19023-3736
Phone (610) 696-5045

Other identifiers 1

IdentifierTypeStateIssuer
102581115MedicaidPA

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
20663601PAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Nursing Care Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1245661230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CLIFTON AVE STE 8",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233736",
            "telephone_number": "610-696-5045",
            "fax_number": "484-540-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 CLIFTON AVE STE 8",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233736",
            "telephone_number": "610-696-5045",
            "fax_number": "484-540-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSE",
        "first_name": "YAWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "20663601",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "04970501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102581115",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.