Long Term Care at Home Association

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LONG TERM CARE AT HOME ASSOCIATION

Doing business as

Long Term Care Pharmacy at Home Network

Practice address

1020 N Delaware Ave Floor 2
Philadephia, PA 19125-4342

Phone

(919) 725-6011

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Knight

Title

Evp Client Success

Phone

(919) 725-6011

Specialties & licenses 1

Addresses

Other names 1

• Long Term Care Pharmacy at Home Network Doing business as

Tax ID family

Long Term Care at Home Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Long Term Care at Home Association

  • Long Term Care Pharmacy
  • Philadelphia, PA
  • NPI 1538927181
  NPD tax ID

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1013775659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N DELAWARE AVE FLOOR 2",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "191254342",
            "telephone_number": "919-725-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N DELAWARE AVE FLOOR 2",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "191254342",
            "telephone_number": "919-725-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE AT HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EVP CLIENT SUCCESS",
        "authorized_official_telephone_number": "919-725-6011"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Term Care Pharmacy at Home Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Lynn Charmoy, LCSW
• Cassandra Kate Diiorio, PA-C
• Katelyn Elizabeth Gerrity
• Golding Home Care
• Nora J. Johnson, PSYD
• Jessica Perfetto, MD
• Philadelphia Discount Pharmacy LLC
• Rising Sun Family Practice Center, Inc.
• Benjamin J Samelson-Jones, MD
• Stephen Matthew Schneider, PA C

• Community/Retail Pharmacy in Philadephia, PA
• Providers in Philadephia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.