Active NPI
Fadhil Joel Longidare
- Personal Care Attendant
- Canonsburg, PA
National Provider Identifier
1639028756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 85653601
- Practice address
- 2400 Ansys Dr Ste 169
Canonsburg, PA 15317-0403 - Phone
- (412) 546-1860
- NPI assigned
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 85653601 | PA | Primary |
Addresses
Primary practice location
2400 Ansys Dr Ste 169
Canonsburg, PA 15317-0403
Mailing address
2400 Ansys Dr Ste 169
Canonsburg, PA 15317-0403
Phone (412) 546-1860
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85653601 | PA | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenah Wellness Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
2400 Ansys Dr
Ste 169
Canonsburg, PA 15317
Phone (412) 546-1860
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1639028756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 ANSYS DR STE 169",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153170403",
"telephone_number": "412-546-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ANSYS DR STE 169",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153170403",
"telephone_number": "412-546-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGIDARE",
"first_name": "FADHIL",
"middle_name": "JOEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "PA",
"license": "85653601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.