Active NPI
Adam Coffee-Davis
- Respite Care
- West Chester, PA
National Provider Identifier
1346987575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 65913601
- Practice address
- 1442 Pottstown Pike
West Chester, PA 19380-1271 - Phone
- (215) 531-2939
- NPI assigned
- May 18, 2022
- Last updated
- Jun 2, 2023
- 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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | 65913601 | PA | Primary |
Addresses
Primary practice location
1442 Pottstown Pike
West Chester, PA 19380-1271
Mailing address
1442 Pottstown Pike
West Chester, PA 19380-1271
Phone (215) 531-2939
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 |
|---|---|---|---|
| 65913601 | PA | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1346987575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 POTTSTOWN PIKE",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801271",
"telephone_number": "215-531-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1442 POTTSTOWN PIKE",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801271",
"telephone_number": "215-531-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEE-DAVIS",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "65913601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.