Philadelphia Lancer Alliance

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHILADELPHIA LANCER ALLIANCE

Doing business as

Acti-Kare Responsive In-Home Care

Practice address

1235 65TH Ave Apt B
Philadelphia, PA 19126-3608

Phone

(215) 669-2154

Fax

(215) 521-1502

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jawanza Nyahuma

Title

Director

Phone

(215) 669-2154

Specialties & licenses 1

Addresses

Other names 1

• Acti-Kare Responsive In-Home Care Doing business as

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1245912203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MONROE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211705",
            "telephone_number": "215-669-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 65TH AVE APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263608",
            "telephone_number": "215-669-2154",
            "fax_number": "215-521-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA LANCER ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "NYAHUMA",
        "authorized_official_first_name": "JAWANZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-669-2154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.