Active NPI
Laura Kalu, BSN, RN
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1396140570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN659686
- Practice address
- 12401 Academy Rd
210
Philadelphia, PA 19154-1932 - Phone
- (888) 851-5967
- Fax
- (267) 538-6529
- NPI assigned
- Oct 29, 2014
- Last updated
- Mar 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 26203601 | PA | |
| Personal Care Attendant | 3747P1801X | 26203601 | PA | |
| Home Health Aide | 374U00000X | 26203601 | PA | |
| Homemaker | 376J00000X | 26203601 | PA | |
| Nurse's Aide | 376K00000X | 26203601 | PA | |
| Registered Nurse | 163W00000X | RN659686 | PA | Primary |
Addresses
Primary practice location
12401 Academy Rd
210
Philadelphia, PA 19154-1932
Mailing address
12401 Academy Rd
210
Philadelphia, PA 19154-1932
Phone (888) 851-5967
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN659686 | PA | MD | Registered Nurse |
| 26203601 | PA | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larie Home Care Services & Staffing | 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 LArie Home Care
- Home Health Agency
- Philadelphia, PA
- NPI 1295130474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425686400000",
"number": "1396140570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 ACADEMY RD",
"address_2": "210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191541932",
"telephone_number": "888-851-5967",
"fax_number": "267-538-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 ACADEMY RD",
"address_2": "210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191541932",
"telephone_number": "888-851-5967",
"fax_number": "267-538-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALU",
"first_name": "LAURA",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2015-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "PA",
"license": "26203601",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "PA",
"license": "26203601",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "PA",
"license": "26203601",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "PA",
"license": "26203601",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "PA",
"license": "26203601",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN659686",
"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 Mar 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.