Shanna Griffin

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

47533601 Issued in PA

Practice address

501 Washington LN Ste 304
Jenkintown, PA 19046-3148

Phone

(267) 237-2531

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1902404494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON LN STE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463148",
            "telephone_number": "267-237-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON LN STE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463148",
            "telephone_number": "267-237-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "47533601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103815747",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@sssupremecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 Washington Ln Ste 304",
            "city": "Jenkintown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190463148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kendria Green
• Greenberg Family Chiropractic Inc
• Michael Ian Greenberg, DC
• Patricia Greenfield, MA, LPC
• Hannah Elizabeth Griffin, LPC, MA
• Stephanie R Grise, DDS
• Donald P. Groetzinger, O.D.
• Jay S Grossman, DO
• Sheila S Grossman, MD
• Anupriya Grover-Wenk, D.O.

• In Home Supportive Care Agency in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.