Homiler Elie Phanor

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

600 N Laurel St
Hazleton, PA 18201-4339

Phone

(570) 455-7890

Fax

(570) 455-7560

NPI assigned

Feb 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elever Coaching and Counseling

  • Clinical Social Worker
  • Willingboro, NJ
  • NPI 1811687825
  NPD Authorized official

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1417655101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FAIRFIELD DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027311",
            "telephone_number": "908-349-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LAUREL ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182014339",
            "telephone_number": "570-455-7890",
            "fax_number": "570-455-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANOR",
        "first_name": "HOMILER",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rileigh Peifer
• Dorothy A Perillo, PA-C
• Christina Perry
• Shelby Linn Petro, LSW
• Gina Pfeiffer, MSOT
• Physicisns Clinical Laboratory
• Constance M Piccolo
• Courtenay Pientka
• Pindar Physical Therapy Inc
• Pinnacle Treatment Centers PA-IX, LLC

• Nursing Home Administrator in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Nursing Home Administrator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.