Nostalgia Well Support Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NOSTALGIA WELL SUPPORT SERVICES

Practice address

4601 Flat Rock Rd Unit 24
Philadelphia, PA 19127-2055

Phone

(267) 325-1567

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanisha HolmanNPI 1316665748

Title

Owner

Phone

(267) 325-1567

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanisha Holman

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1316665748
  NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1114645553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 FLAT ROCK RD UNIT 24",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 FLAT ROCK RD UNIT 24",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272055",
            "telephone_number": "267-325-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTALGIA WELL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-325-1567"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Norton, DPM
• Norvantis Home Health Care
• Oghos Nosa, PHARMD
• Stanley Z Nosheny, MD
• Sarah Nossov, MD
• Alexis Notarianni, MD
• Lindsay Notarianni
• Rachael Lauren Notchick, MPAS, PA-C
• Lauren Noto Bell, D.O.
• Olivia Notto, PA-C

• 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 Aug 22, 2022; 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.