MEDICARE: ALISETT SCHUBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	89643601	PA

General Provider Information

NPI Number	:	1578426763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISETT SCHUBERT

Provider Business Mailing Address
First Line	:	4021 VISTA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-3620
Country	:	US
Telephone Number	:	215-828-1048
Fax Number	:	215-331-1261

Provider Business Practice Location Address
First Line	:	4021 VISTA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-3620
Country	:	US
Telephone Number	:	215-828-1048
Fax Number	:	215-331-1261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	03/08/2026

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