Medical House Call Clinic LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MEDICAL HOUSE CALL CLINIC LLC

Practice address

27 Glen Riddle Rd
Media, PA 19063-5228

Phone

(610) 410-9933

Fax

(360) 291-7711

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ellah C Nota, CRNPNPI 1093094179

Title

Certified Registered Nurse Practiti

Phone

(610) 410-9933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellah C. Nota, CRNP

  • Adult Health Nurse Practitioner
  • Media, PA
  • NPI 1093094179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1871227892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GLEN RIDDLE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635228",
            "telephone_number": "610-410-9933",
            "fax_number": "360-291-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GLEN RIDDLE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635228",
            "telephone_number": "610-410-9933",
            "fax_number": "360-291-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOUSE CALL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "NOTA",
        "authorized_official_first_name": "ELLAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CERTIFIED REGISTERED NURSE PRACTITI",
        "authorized_official_telephone_number": "610-410-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Media Hearing Aid Center, P.C.
• Media Lima Dental Associates LLC
• Media Lima Dental LLC
• Media Psychiatric Services, LLC
• Media Smiles PC
• Tamika Medley, ED.D.
• Michael John Meehan, M.A., CCC-SLP
• Lilian Elizabeth Meier, D.C.
• Kathryn Elizabeth Mema, P.T., D.P.T.
• Meprx, LLC (Elwyn Pharmacy)

• Adult Health Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.