Organization Active NPI

Assured Love Home Care

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1063975290
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSURED LOVE HOME CARE
Practice address
5117 Oxford Ave
Philadelphia, PA 19124-2521
Phone
(215) 433-3979
NPI assigned
Apr 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Authorized official

Name
Kassandra Ashley Brown
Title
Ceo/Owner
Phone
(215) 433-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5117 Oxford Ave
Philadelphia, PA 19124-2521

Mailing address

5117 Oxford Ave
Philadelphia, PA 19124-2521
Phone (215) 433-3979

Other identifiers 1

IdentifierTypeStateIssuer
41213601MedicaidPA

Other names 1

  • Assured Love Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555200000000",
    "number": "1063975290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242521",
            "telephone_number": "215-433-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242521",
            "telephone_number": "215-433-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED LOVE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-14",
        "last_updated": "2019-04-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "215-433-3979"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41213601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Love Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.