Epa Supportive Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EPA SUPPORTIVE SERVICES LLC

Practice address

146 Tudor Dr
North Wales, PA 19454-1626

Phone

(267) 471-2972

NPI assigned

Dec 28, 2018

Organization subpart

No

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

Authorized official

Name

Eugene Asonye, BEHAVIORAL SPECIALISNPI 1689387920

Title

Administrator

Phone

(267) 471-2972

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Asonye

  • Behavior Technician
  • North Wales, PA
  • NPI 1689387920
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1336611490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 TUDOR DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541626",
            "telephone_number": "267-471-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 TUDOR DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541626",
            "telephone_number": "267-471-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPA SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "ASONYE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-471-2972",
        "authorized_official_credential": "BEHAVIORAL SPECIALIS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jeffrey B Ellis, MD
• Mohamed Elsagheer, BACHELOR'S DEGREE
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• Nicole Fazio, MS
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• Helen Feit, MD
• Rachel Felbinger, MA, CCC-SLP

• Home Health Agency in North Wales, PA
• Providers in North Wales, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.