Individual provider Active NPI

Rugiatu E Waitay

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1487111019
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
39613601 Issued in PA
Practice address
800 Cottman Ave Apt B11512
Philadelphia, PA 19111-3056
Phone
(215) 436-0554
Fax
(267) 339-6111
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 39613601 PA Primary

Addresses

Primary practice location

800 Cottman Ave Apt B11512
Philadelphia, PA 19111-3056

Mailing address

800 Cottman Ave Apt B11512
Philadelphia, PA 19111-3056
Phone (215) 436-0554

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
39613601PAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1487111019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTMAN AVE APT B11512",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113056",
            "telephone_number": "215-436-0554",
            "fax_number": "267-339-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COTTMAN AVE APT B11512",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113056",
            "telephone_number": "215-436-0554",
            "fax_number": "267-339-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITAY",
        "first_name": "RUGIATU",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "39613601",
            "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 1, 2019; 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.