Active NPI
Alfonzo Powell
- Homemaker
- Philadelphia, PA
National Provider Identifier
1265917702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 33813601
- Practice address
- 1905 W Susquehanna Ave
Philadelphia, PA 19121-1547 - Phone
- (267) 231-6586
- NPI assigned
- Oct 1, 2018
- Last updated
- Oct 1, 2018
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 33813601 | PA | Primary |
Addresses
Primary practice location
1905 W Susquehanna Ave
Philadelphia, PA 19121-1547
Mailing address
PO Box 50562
Philadelphia, PA 19132-6562
Phone (267) 231-6586
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 |
|---|---|---|---|
| 33813601 | PA | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Aid, LLC | 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.
-
dba HomeCentris Healthcare
- In Home Supportive Care Agency
- Philadelphia, PA
- NPI 1255808259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1265917702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50562",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191326562",
"telephone_number": "267-231-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 W SUSQUEHANNA AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191211547",
"telephone_number": "267-231-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ALFONZO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "PA",
"license": "33813601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.