Immediate Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

765005 Issued in PA

Legal business name

IMMEDIATE HOME CARE LLC

Practice address

3901 Market St Ste 4B
Philadelphia, PA 19104-3133

Phone

(215) 638-2223

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mari Willis

Title

Authorized Official

Phone

(216) 970-1189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 397650A

Legal name

IMMEDIATE HOME CARE LLC

Doing business as

IMMEDIATE HOME CARE AND HOSPICE

Organization structure

LLCProprietary

Incorporated

Feb 2, 1996 in PA

Enrollment address

3901 Market St
Ste 4B
Philadelphia, PA 19104-3133

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Immediate Home Care LLC

  • Community Based Hospice Care Agency
  • Philadelphia, PA
  • NPI 1912158932

  8022396902

  Same PAC ID

Tax ID family

Immediate Homecare Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Immediate Home Care LLC

  • Community Based Hospice Care Agency
  • Philadelphia, PA
  • NPI 1912158932
  NPD tax ID
• Immediate Homecare & Hospice

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1982095568
  NPD tax ID

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Immediate Home Care LLC

  • Community Based Hospice Care Agency
  • Philadelphia, PA
  • NPI 1912158932

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Caring Angels Homecare Agency, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1124598156

  Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC

  CMS ownership
• Home Recovery Home Health LLC

  • Home Health Agency
  • Farmville, VA
  • NPI 1811933328

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Homecare With Heart Services, LLC

  • Home Health Agency
  • Youngstown, OH
  • NPI 1013316496

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Jar Inc

  • Home Health Agency
  • Alexandria, VA
  • NPI 1598706483

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Jar, Inc.

  • Home Health Agency
  • Washington, DC
  • NPI 1245410943

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Jar, Inc.

  • Home Health Agency
  • Landover, MD
  • NPI 1679515902

  Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1124029467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST STE 4B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043133",
            "telephone_number": "215-638-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST STE 4B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043133",
            "telephone_number": "215-638-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "216-970-1189",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "765005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phyllis Ann Immitti, DMD
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• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.