Lawanda Chavous

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

60543601 Issued in PA

Practice address

1835 Meribrook Rd
Phila, PA 19151-2014

Phone

(484) 369-7690

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1508529249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 MERIBROOK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191512014",
            "telephone_number": "484-369-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 MERIBROOK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191512014",
            "telephone_number": "484-369-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVOUS",
        "first_name": "LAWANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "60543601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834226305",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHILA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHILA",
            "address_1": "1835 Meribrook Rd",
            "city": "Phila",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191512014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Castor Medical PC
• Keisha Tamika Cauley, B.A.
• Priya Cavanaugh, RN
• Charles a Friedenberg
• Fred Brian Chase, PHD
• Bernice Chemey Kane
• Mary Cheng, RPH
• Gregory Michael Cherry, MSW
• Chestnut Hill Medical
• Ramsey H. Chew Jr., DMD

• All providers in Phila, PA
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.