Keyana Person

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1831 E Pastorius St
Philadelphia, PA 19138-1203

Phone

(267) 367-2818

NPI assigned

May 28, 2020

Last updated

May 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1952925687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 N 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411316",
            "telephone_number": "267-367-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E PASTORIUS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381203",
            "telephone_number": "267-367-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSON",
        "first_name": "KEYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103575720002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Persichetti, LCSW
• Ashleigh Persico
• Yuri Persidsky, MD., PHD.
• Person Centered Homecare LLC
• Person-Centered Home & Community Services, Inc.
• Personal Care Home C&G
• Personal Care Home C&G Medical Clinic, PLLC
• Personal Care Home C&G Medical Clinic, PLLC
• Personal Care Home C&G, Inc
• Personal Evolution LLC (Fishtown Wellness Center)

• Day Training/Habilitation Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Day Training/Habilitation Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.