Amber Pradhan

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

72283601 Issued in PA

Practice address

68 Diller Dr
Shippensburg, PA 17257-9709

Phone

(470) 449-9585

NPI assigned

Jul 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Golden Galaxy Home Care LLC

  • In Home Supportive Care Agency
  • Shippensburg, PA
  • NPI 1598586810
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1790464949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DILLER DR",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579709",
            "telephone_number": "470-449-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DILLER DR",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579709",
            "telephone_number": "470-449-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "PA",
            "license": "72283601",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "72283601",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "PA",
            "license": "72283601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubens Paul
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy 05726)
• Perini Services/Southampton Manor LP (Shippensburg Health Care Center)
• Nathan Petula, PA-C
• Pinnacle Health Medical Services (UPMC Pediatrics Shippensburg)
• John Vincent Price, RPH
• Brandon Pruznak
• Elizabeth Rhodes
• Abby Nichole Rhone, PA
• Justin Baker Rife, CRNP

• Personal Care Attendant in Shippensburg, PA
• Providers in Shippensburg, PA by specialty
• Personal Care Attendant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.