Individual provider Active NPI

Hawa Mamie Sirleaf

  • Personal Care Attendant
  • Philadelphia, PA
National Provider Identifier
1316404585
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
39453601 Issued in PA
Practice address
7708 City Ave Ste 215
Philadelphia, PA 19151-2000
Phone
(215) 216-7282
Fax
(855) 300-5348
NPI assigned
Feb 25, 2019
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 39453601 PA Primary

Addresses

Primary practice location

7708 City Ave Ste 215
Philadelphia, PA 19151-2000

Mailing address

7708 City Ave Ste 215
Philadelphia, PA 19151-2000
Phone (610) 931-0114

Other identifiers 1

IdentifierTypeStateIssuer
824659990OtherPAHUMBLE HANDS HOME CARE & STAFFING LLC

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
39453601PAMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Humble Hands Home Care & Staffing LLC Personal Care Attendant CurrentSince Jan 28, 2024 Accepting new patients
Humble Hands Home Care LLC Current Accepting new patients

Locations

7708 City Ave
Ste 215
Philadelphia, PA 19151
Phone (215) 216-7282

Organizations & group practices 2

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1316404585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 CITY AVE STE 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512000",
            "telephone_number": "610-931-0114",
            "fax_number": "267-216-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 CITY AVE STE 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512000",
            "telephone_number": "215-216-7282",
            "fax_number": "855-300-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRLEAF",
        "first_name": "HAWA",
        "middle_name": "MAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "PA",
            "license": "39453601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMBLE HANDS HOME CARE & STAFFING LLC",
            "identifier": "824659990",
            "state": "PA"
        }
    ],
    "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 Jan 22, 2024; 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.