Organization Active NPI

Envision Ablaze Healthcare

  • In Home Supportive Care Agency
  • Mechanicsburg, PA
National Provider Identifier
1548625502
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
29183601 Issued in PA
Legal business name
ENVISION ABLAZE HEALTHCARE
Practice address
208 West Allen Street
Mechanicsburg, PA 17055-6240
Phone
(717) 620-4920
Fax
(717) 620-4920
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Ms. Ini Umana
Title
Director
Phone
(717) 620-4920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 29183601 PA
In Home Supportive Care Agency 253Z00000X 29183601 PA Primary

Addresses

Primary practice location

208 West Allen Street
Mechanicsburg, PA 17055-6240

Mailing address

208 West Allen Street
Mechanicsburg, PA 17055-6240
Phone (717) 620-4920

National Provider Directory

National Provider Directory

Locations

208 W Allen St
Mechanicsburg, PA 17055
Phone (717) 620-4920

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1548625502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WEST ALLEN STREET",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556240",
            "telephone_number": "717-620-4920",
            "fax_number": "717-620-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WEST ALLEN STREET",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556240",
            "telephone_number": "717-620-4920",
            "fax_number": "717-620-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION ABLAZE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "UMANA",
        "authorized_official_first_name": "INI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-620-4920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "29183601",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "29183601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.