Illuminated Hearts

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

28383601 Issued in PA

Legal business name

ILLUMINATED HEARTS

Practice address

3900 Ford Rd
Ste 104E
Philadelphia, PA 19131-2039

Phone

(215) 921-6624

Fax

(215) 921-6715

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Kionna PerryNPI 1104280676

Title

Co Founder

Phone

(610) 324-7807

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kionna Perry

  • Nurse's Aide
  • Philadelphia, PA
  • NPI 1104280676
  NPD (past) Authorized official

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1053775528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "STE 104E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "215-921-6624",
            "fax_number": "215-921-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "STE 104E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "215-921-6624",
            "fax_number": "215-921-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KIONNA",
        "authorized_official_title_or_position": "CO FOUNDER",
        "authorized_official_telephone_number": "610-324-7807"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "28383601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPI NUMBER",
            "identifier": "103052059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hristelina S. Ilieva, M.D.
• Valentin Ilivitsky, MD
• Nikhil Rao Illa, MD
• William Christopher Illiano, MD
• Lijo Illipparambil
• Illuminated Hearts Primary Care, LLC
• Illuminating Homecare Services LLC
• Kyra Stephanie Illuzzi
• Chika Iloanusi, PSYD.
• Olayiwola Raphael Ilori, CRNP

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.