Zaza L Kandakai, MASTER HEALTH ADMIN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6850321 Issued in PA

Practice address

20 Lincoln Ave
Bristol, PA 19007-5311

Phone

(718) 954-1985

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Galal Home Care Agency LLC

  dba Home Care Agency

  • Home Health Aide
  • Bristol, PA
  • NPI 1871135319
  NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1538713466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VETERANS HWY # C9A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072525",
            "telephone_number": "718-954-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LINCOLN AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190075311",
            "telephone_number": "718-954-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDAKAI",
        "first_name": "ZAZA",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MASTER HEALTH ADMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "6850321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Jorgage, O.T.
• Joseph M. Bednarek MDPC
• Steven Kalchman, M.D.
• Safa Kamal, DMD
• Michael Adam Kaminsky
• Brenna Colleen Kane, M.S. CCC-SLP
• Sabin Karki
• Ami Elizabeth Kent, LCSW
• Marie Michelle Keslin
• Michelle Khalsa, OTR/L

• Home Health Agency in Bristol, PA
• Providers in Bristol, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.