Organization Active NPI

Tailored Support Services, LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1124679618
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TAILORED SUPPORT SERVICES, LLC
Practice address
1123 N 63Rd St
Philadelphia, PA 19151-3209
Phone
(484) 948-5213
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Mrs. Daneen Dedekosi Dicler-Ankamah
Title
Ceo
Phone
(215) 650-7405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1123 N 63Rd St
Philadelphia, PA 19151-3209

Mailing address

PO Box 648
Darby, PA 19023-0648
Phone (484) 784-7702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1124679618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190230648",
            "telephone_number": "484-784-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N 63RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513209",
            "telephone_number": "484-948-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "DICLER-ANKAMAH",
        "authorized_official_first_name": "DANEEN",
        "authorized_official_middle_name": "DEDEKOSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-650-7405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 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.