Individual provider Active NPI

Yefim Dadashev

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1407675333
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
78913601 Issued in PA
Practice address
1537 N 33Rd St Apt a
Philadelphia, PA 19121-4068
Phone
(718) 200-7775
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 78913601 PA Primary

Addresses

Primary practice location

1537 N 33Rd St Apt a
Philadelphia, PA 19121-4068

Mailing address

1537 N 33Rd St Apt a
Philadelphia, PA 19121-4068
Phone (718) 200-7775

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
78913601PAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Local Home Care Inc Home Health CurrentSince Oct 13, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1407675333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 N 33RD ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214068",
            "telephone_number": "718-200-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 N 33RD ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214068",
            "telephone_number": "718-200-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADASHEV",
        "first_name": "YEFIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "78913601",
            "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 Oct 8, 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.