Philadelphia Professionals Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHILADELPHIA PROFESSIONALS INC

Practice address

202 Allamanda Dr
Lakeland, FL 33803-2928

Phone

(863) 333-0650

Fax

(863) 583-0421

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Odalmis Barroso

Title

Owner

Phone

(786) 873-8117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687339

Legal name

PHILADELPHIA PROFESSIONALS INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 24, 2023

Last certification

May 23, 2023

Organization structure

CorporationProprietary

Incorporated

Apr 29, 2015 in FL

Enrollment address

202 Allamanda Dr
Lakeland, FL 33803-2928

Listed as

Philadelphia Professionals IncCCN 687339

Ownership

-

Certified

May 24, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackenzie S. Khan, DNP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1063135101
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1629448725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ALLAMANDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032928",
            "telephone_number": "863-333-0650",
            "fax_number": "863-583-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ALLAMANDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032928",
            "telephone_number": "863-333-0650",
            "fax_number": "863-583-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BARROSO",
        "authorized_official_first_name": "ODALMIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-873-8117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Thu Pham, MD
• Thach Pham, D.M.D
• Thuy Linh Pham, APRN
• Tri Minh Pham, MD
• Phung Dinh Phan, D.O.
• Rengit Philip, MD
• Rosemie Philippe, LMHC
• Phillips Salomon & Parrish PA
• Phillips Salomon & Parrish PA
• Phillips Salomon & Parrish PA

• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.