Greater Etheyln Homecare

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

GREATER ETHEYLN HOMECARE

Practice address

644 S Yewdall St
Philadelphia, PA 19143-2522

Phone

(215) 608-9443

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Kaseem Starkey, LPNNPI 1376114884

Title

Ceo

Phone

(215) 476-7550

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaseem Starkey, MD

  • Health & Wellness Coach
  • Philadelphia, PA
  • NPI 1376114884
  NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1013589340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S YEWDALL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432522",
            "telephone_number": "215-608-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 S YEWDALL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432522",
            "telephone_number": "215-608-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ETHEYLN HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "STARKEY",
        "authorized_official_first_name": "KASEEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-476-7550",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mail.google.com/mail/u/0/?tab=wm#inbox",
            "affiliation": "N",
            "endpointDescription": "Direct email Adress",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 Market St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191037044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corina Marie Graziani, M.D.
• Laurence Graziano, DO
• Great Health Medical PA PC
• Great Homecare LLC
• Greater Delaware Valley Society of Transplant Surgeons
• Greater Northeast Gastroenterology Associates PC
• Greater Phila Cancer & Hematology Specialists PC
• Greater Phila Health Action, Inc.
• Greater Phila Health Action, Inc.
• Greater Philadelphia Asian Social Service Center

• Licensed Practical Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.