Organization Active NPI

DG Home Care Services LLC

  • Home Health Agency
  • Southampton, PA
National Provider Identifier
1023772712
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DG HOME CARE SERVICES LLC
Practice address
260 Knowles Ave Ste 220
Southampton, PA 18966-1555
Phone
(347) 992-6675
NPI assigned
Oct 28, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
David Gvinianidze
Title
Owner
Phone
(718) 200-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

260 Knowles Ave Ste 220
Southampton, PA 18966-1555

Mailing address

260 Knowles Ave Ste 220
Southampton, PA 18966-1555
Phone (347) 992-6675

National Provider Directory

National Provider Directory

Locations

260 Knowles Ave
Ste 220
Southampton, PA 18966
Phone (347) 992-6675

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1023772712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 KNOWLES AVE STE 220",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661555",
            "telephone_number": "347-992-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 KNOWLES AVE STE 220",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661555",
            "telephone_number": "347-992-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DG HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "GVINIANIDZE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-200-9044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.