Active NPI
Sonny Mgbechinyere Nwachuku, MSA
- Child Intellectual and/or Developmental Disabilities Respite Care
- Yeadon, PA
National Provider Identifier
1255094199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- 25783601
- Practice address
- 721 Church LN Ste 1
Yeadon, PA 19050-3502 - Phone
- (267) 275-8478
- Fax
- (267) 275-8774
- NPI assigned
- Oct 18, 2021
- Last updated
- Oct 18, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 25783601 | PA | Primary |
Addresses
Primary practice location
721 Church LN Ste 1
Yeadon, PA 19050-3502
Mailing address
721 Church LN Ste 1
Yeadon, PA 19050-3502
Phone (267) 275-8478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102932041 | Medicaid | PA |
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 |
|---|---|---|---|
| 25783601 | PA | MD | Child Intellectual and/or Developmental Disabilities Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonbest Family Services LLC | Respite Care, Intellectual and/Or Developmental Disabilities, Child | Current | Accepting new patients |
Locations
721 Church Ln
Ste 1
Yeadon, PA 19050
Phone (267) 275-8478
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.
-
- Personal Care Attendant
- Yeadon, PA
- NPI 1770415010
Respite Care, Intellectual and/Or Developmental Disabilities, Child
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1255094199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 CHURCH LN STE 1",
"city": "YEADON",
"state": "PA",
"postal_code": "190503502",
"telephone_number": "267-275-8478",
"fax_number": "267-275-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CHURCH LN STE 1",
"city": "YEADON",
"state": "PA",
"postal_code": "190503502",
"telephone_number": "267-275-8478",
"fax_number": "267-275-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWACHUKU",
"first_name": "SONNY",
"middle_name": "MGBECHINYERE",
"name_prefix": "Mr.",
"credential": "MSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "PA",
"license": "25783601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102932041",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yeadon, PA
- Mercy/Manor Partnership (ManorCare Health Services at Mercy Fitzgerald)
- Motina Services
- National Event Services Inc
- Nichole Norman
- Alexandria Rae Norton, PHARM D
- Our Hands to Yours Homecare, LLC.
- Pennsylvania Autism Service
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy#00460)
- Suhasini Penugonda, PT
- Hattie Perry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.