Individual provider Active NPI

Lucas Acha, HOME HEALTH AIDE

  • Home Health Aide
  • Adelphi, MD
National Provider Identifier
1295096097
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
9226 Willow LN
Adelphi, MD 20783-1501
Phone
(907) 331-8193
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

9226 Willow LN
Adelphi, MD 20783-1501

Mailing address

9226 Willow LN
Adelphi, MD 20783-1501
Phone (907) 331-8193

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2012.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1295096097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 WILLOW LN",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831501",
            "telephone_number": "907-331-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 WILLOW LN",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831501",
            "telephone_number": "907-331-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHA",
        "first_name": "LUCAS",
        "credential": "HOME HEALTH AIDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.