EKA MAISURADZE (NPI# 1558982124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558982124 |
| Entity Type | Individual |
| Full Name | EKA MAISURADZE |
| Practice Address |
8336 Bustleton Ave Philadelphia PA 19152-1909 |
| Practice Telephone | 2157429811 |
| Mailing Telephone | 2157429811 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174200000X | Meals | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8336 Bustleton Ave, Philadelphia, PA 191521909 | 2157429811 |
| Street Address |
8336 BUSTLETON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 174200000X |
| Grouping | Other Service Providers |
| Classification | Meals |
| A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| Notes: Source: SD DSS Non-Emergency Medical Transportation program Transportation Services [7/1/2010: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773633 | Forever Care Supports Coordination LLC | Meals | 1706 N 2nd St # R5, Philadelphia, PA 19122-3110 | 2019-04-10 |
| 1669942736 | Philadelphia Ronald Mcdonald House Inc | Meals | 3925 Chestnut St, Philadelphia, PA 19104-3110 | 2018-11-30 |
| 1588171409 | The Ray Organization LLC | Meals | 1700 Market St Ste 1005, Philadelphia, PA 19103-3920 | 2017-12-30 |
| 1295241446 | Luda Chica LLC | Meals | 7178 N Uber Street, Philadelphia, PA 19138-1913 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212698 | Mary's Shelter | Meals | 615 Kenhorst Blvd, Reading, PA 19611-1717 | 2019-12-20 |
| 1427692847 | Meals Direct LLC | Meals | 3021 Franks Rd Ste 1, Huntingdon Valley, PA 19006-4216 | 2019-10-29 |
| 1992368021 | Always Ready Home Care | Meals | 902 Union Meeting Rd, Blue Bell, PA 19422 | 2019-04-15 |
| 1144793019 | Associated Services LLC | Meals | 1609 Woodbourne Rd Ste 204a, Levittown, PA 19057-1534 | 2019-01-03 |
| 1487169330 | Connellsville Area Senior Tigers, Inc | Meals | 100 E Fayette St, Connellsville, PA 15425-3334 | 2017-12-13 |
| 1376054643 | Berks Encore | Meals | 40 N 9th St, Reading, PA 19601-3657 | 2017-10-13 |
| 1376155879 | Luke Yummy,inc. | Meals | 1400 Willow Ave, Elkins Park, PA 19027-3106 | 2020-08-18 |
| 1073132601 | Meals On Wheels of Northeastern Pa Inc | Meals | 541 Wyoming Ave, Scranton, PA 18509-3000 | 2020-04-14 |
| 1043856644 | Meals America Inc. | Meals | 1213 Walnut St, Lansdale, PA 19446-1128 | 2019-11-19 |
| 1649786294 | The Lutheran Service Society of Western Pa | Meals | 440 Lincoln Ave, Pittsburgh, PA 15202-3631 | 2017-12-19 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on EKA MAISURADZE.
| 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.