MR. HENRY BREAVOID JOHNSON


Address: 435 E Allens Ln, Philadelphia, PA 19119-1104
Phone: 2157539033

MR. HENRY BREAVOID JOHNSON (NPI# 1558482661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558482661
Entity Type Individual
Full Name MR. HENRY BREAVOID JOHNSON
Credential OTR
Practice Address 435 E Allens Ln
Philadelphia
PA 19119-1104
Practice Telephone 2157539033
Mailing Telephone 2157539033
Enumeration Date 2007-04-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor OCC003859L PA Other Service Providers

Other Providers HENRY JOHNSON

NPI Name Taxonomy Address Enumeration
1750822896 Henry Johnson Sr. Non-emergency Medical Transport (VAN) 3852 N Timbers Ct, Harvey, LA 70058-2147 2017-03-08
1942656079 Henry Lee Johnson Registered Nurse 4612 Crescent Rd, Fitchburg, WI 53711-4616 2016-05-07
1689006405 Henry John Johnson Jr. Behavioral Analyst 8267 Golden Flowers St, Las Vegas, NV 89139-6842 2013-08-02
1760727614 Henry Stewart Johnson Internal Medicine 115 Pine Ave, Suite 615, Long Beach, CA 90802-4457 2012-12-04
1356629943 Henry Aaron Johnson Physical Therapist 716 Colfax St, Fort Morgan, CO 80701-4084 2011-07-29
1316051964 Henry Johnson Jr. Physician Assistant 341 Jacob B Loop, Alexandria, LA 71303-2198 2006-08-19
1295218782 Henry Johnson Nurse Practitioner 324 W Hale St, Lake Charles, LA 70601-8439 2018-09-11
1861830994 Henry Joel Johnson Registered Nurse 1493 Cambridge St, Cambridge, MA 02139-1047 2013-06-11
1477729671 Henry Johnson Case Manager/Care Coordinator 1014 Main St, Conway, AR 72032-5426 2008-05-07
1518147925 Henry Parker Johnson Jr. Internal Medicine 1208 Office Park Dr, Oxford, MS 38655-3597 2007-11-14

Office Location

Street Address 435 E ALLENS LN
City PHILADELPHIA
State PA
Zip Code 19119-1104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790342640 A United Partnership Case Management 520 Glen Echo Road, Philadelphia, PA 19119 2019-05-28
1043787559 Latasha Marie Forteau Social Worker 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 2018-11-01
1730697608 Lauren Archambault Speech-Language Pathologist 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 2018-01-13
1164940763 Holly Sawyer Counselor 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 2017-09-03
1164958328 Divine Light Community/Behavioral Health 25 Sharpnack Street, Philadelphia, PA 19119 2017-05-10
1043761281 Carolyn Askin Social Worker 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 2016-10-24
1932582905 Emeka Nwadiora Social Worker 7601 Germantown Ave Suite B, Philadelphia, PA 19119 2015-07-08
1114305760 Marcelle Lynn Ancrum Counselor 7145 Germantown Avenue, Philadelphia, PA 19119 2015-05-15
1326431909 Julie Greenberg Marriage & Family Therapist 6445 Greene St., B202, Phila, PA 19119 2015-03-06
1184053589 Kaitlin Staples Counselor 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 2013-11-06
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427694223 Oluwafemi Abodunde Contractor 450 Byberry Rd Apt B44, Philadelphia, PA 19116-4012 2019-11-27
1710452040 Samantha R Billings Contractor 220 S 47th St, Philadelphia, PA 19139-4426 2018-10-13
1386173250 Jacqueline Butler Contractor 7120 Valley Ave, Philadelphia, PA 19128-3206 2017-06-05
1700312998 Terrance Cook Contractor 37 S Millick St, Philadelphia, PA 19139-3033 2017-05-07
1275072498 Sederia Brown Contractor 142 E Pleasant St, Philadelphia, PA 19119-2144 2017-02-21
1457801201 Amber Zeigler Contractor 702 N 3rd St, Pmb 770, Philadelphia, PA 19123-2904 2016-10-05
1245698398 Tiffani Ellis-ingram Contractor 6484 Ross St, Philadelphia, PA 19119-2333 2016-02-03
1700257029 Mohamed Koubassi Jabati Contractor 1229 Hale St, Philadelphia, PA 19111-5829 2015-10-13
1386044485 Ballah A Kabbah Contractor 6418 Elmwood Ave, Philadelphia, PA 19142-3110 2014-08-26
1831495118 Kianna Lasha Foster Contractor 7636 Wyndale Ave, Philadelphia, PA 19151-2707 2011-02-02
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19119

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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