Active NPI
Luz Velez
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1972143857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 45743601
- Practice address
- 436 W Airdrie St
Philadelphia, PA 19140-3342 - Phone
- (267) 402-0068
- Fax
- (215) 754-0919
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 45743601 | PA | Primary |
Addresses
Primary practice location
436 W Airdrie St
Philadelphia, PA 19140-3342
Mailing address
436 W Airdrie St
Philadelphia, PA 19140-3342
Phone (267) 402-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45743601 | Other | PA | STATE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45743601 | PA | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1972143857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 W AIRDRIE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191403342",
"telephone_number": "267-402-0068",
"fax_number": "215-754-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 W AIRDRIE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191403342",
"telephone_number": "267-402-0068",
"fax_number": "215-754-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "LUZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "45743601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "45743601",
"state": "PA"
}
],
"endpoints": [],
"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 Jan 8, 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.