Individual provider Active NPI

Madiyah Lambert

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1871228783
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
52403601 Issued in PA
Practice address
502 Gerhard St
Philadelphia, PA 19128-1669
Phone
(215) 475-1375
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 52403601 PA Primary

Addresses

Primary practice location

502 Gerhard St
Philadelphia, PA 19128-1669

Mailing address

502 Gerhard St
Philadelphia, PA 19128-1669
Phone (215) 475-1375

Other identifiers 1

IdentifierTypeStateIssuer
104020908MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lmbetterdaysliving@gmail.com Direct

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

LicenseStateTypeSpecialty
52403601PAMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1871228783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GERHARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281669",
            "telephone_number": "215-475-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GERHARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281669",
            "telephone_number": "215-475-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "MADIYAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "52403601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104020908",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lmbetterdaysliving@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "502 Gerhard St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191281669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.