Individual provider Active NPI

Sonny Mgbechinyere Nwachuku, MSA

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Yeadon, PA
National Provider Identifier
1255094199
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
25783601 Issued in PA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102932041MedicaidPA

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
25783601PAMDChild Intellectual and/or Developmental Disabilities Respite Care

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.